Cottrell, Ben Edgar

Cottrell, Ben Edgar is an sole proprietor health care provider with primary practice located at 705 Black Creek Dr , Chattanooga TN 37419-2190. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cottrell, Ben Edgar can be contacted via phone (931) 588-6356.

Contact Information

Primary practice address
705 Black Creek Dr Chattanooga TN 37419-2190
Phone: (931) 588-6356
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35175 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35175 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35175 Tennessee

Profile Details

NPI number 1801842570
LBN Legal business name Cottrell, Ben Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Jul 6th, 2016 - about 8 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 1801842570 NPPES
Tennessee MEDICAID 3862460
Tennessee Other TN0109
Tennessee MEDICAID 3862466
Tennessee Other 4144771

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