Cornielle-Caamano, Vertilio Moises
Cornielle-Caamano, Vertilio Moises is an individual health care provider with primary practice located at 228 W 4Th St Ste 200 , Cookeville TN 38501-2489. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Cornielle-Caamano, Vertilio Moises can be contacted via phone (931) 372-0405.Contact Information
Primary practice address
228 W 4Th St Ste 200
Cookeville TN 38501-2489
Phone: (931) 372-0405
Fax: (931) 372-0406
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55240 | Tennessee |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 55240 | Tennessee |
Profile Details
NPI number | 1205272606 |
---|---|
LBN Legal business name | Cornielle-Caamano, Vertilio Moises |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2013 |
Last updated | Feb 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205272606 | NPPES |
Tennessee | MEDICAID | Q027597 |
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