Koomen, John C

Koomen, John C is an individual health care provider with primary practice located at 1600 Westgate Circle Ste 295 Centerstone Assoc, Brentwood TN 37027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Koomen, John C can be contacted via phone (615) 661-4443.

Contact Information

Primary practice address
1600 Westgate Circle Ste 295 Centerstone Assoc Brentwood TN 37027
Phone: (615) 661-4443
Fax: (615) 370-2408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12422 Tennessee

Profile Details

NPI number 1952466989
LBN Legal business name Koomen, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952466989 NPPES
Tennessee MEDICAID 3008958

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