Isaacson, Terah C

Isaacson, Terah C is an individual health care provider with primary practice located at 145 W 4Th St Ste 102 , Cookeville TN 38501-2476. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Isaacson, Terah C can be contacted via phone (931) 783-5515.

Contact Information

Primary practice address
145 W 4Th St Ste 102 Cookeville TN 38501-2476
Phone: (931) 783-5515
Fax: (931) 783-5513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 61228 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X P4580 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X P4580 Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 04-42832 Kansas

Profile Details

NPI number 1023220316
LBN Legal business name Isaacson, Terah C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Apr 6th, 2023 - 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 1023220316 NPPES
Tennessee MEDICAID Q057848
Tennessee MEDICAID 1023220316

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