Locke, Caitlin

Locke, Caitlin is an individual health care provider with primary practice located at 340 N Cedar Ave , Cookeville TN 38501-2421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Locke, Caitlin can be contacted via phone (931) 783-5353.

Contact Information

Primary practice address
340 N Cedar Ave Cookeville TN 38501-2421
Phone: (931) 783-5353
Fax: (931) 783-4994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3116 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3116 Tennessee

Profile Details

NPI number 1124578984
LBN Legal business name Locke, Caitlin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2016
Last updated Mar 31st, 2021 - about 4 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 1124578984 NPPES
Tennessee MEDICAID Q024834
Tennessee MEDICAID 7100448340
Tennessee Other 6080296

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