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
Fax: (931) 372-0406
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205272606 NPPES
Tennessee MEDICAID Q027597

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