Cothren, Jackson Daniel

Cothren, Jackson Daniel is an individual health care provider with primary practice located at 2201 Murphy Ave Ste 407 , Nashville TN 37203-1864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Cothren, Jackson Daniel can be contacted via phone (615) 815-2350.

Contact Information

Primary practice address
2201 Murphy Ave Ste 407 Nashville TN 37203-1864
Phone: (615) 815-2350
Fax: (615) 522-5040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD6483 Tennessee

Profile Details

NPI number 1104829340
LBN Legal business name Cothren, Jackson Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 22nd, 2021 - about 5 years ago

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 1104829340 NPPES
Tennessee MEDICAID Q009775
Tennessee Other 6066853

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