Ross, Carolyn Ann

Ross, Carolyn Ann is an sole proprietor health care provider with primary practice located at 120 Walnut Commons Ln Ste B , Cookeville TN 38501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ross, Carolyn Ann can be contacted via phone (931) 528-2557.

Contact Information

Primary practice address
120 Walnut Commons Ln Ste B Cookeville TN 38501
Fax: (931) 526-2559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1416 Tennessee

Profile Details

NPI number 1881699700
LBN Legal business name Ross, Carolyn Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Nov 28th, 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 1881699700 NPPES
Tennessee MEDICAID 3306792

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