Taillac, Heather
Taillac, Heather is an individual health care provider with primary practice located at 335 W Spring St , Cookeville TN 38501-3125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Taillac, Heather can be contacted via phone (504) 842-3000.Contact Information
Primary practice address
335 W Spring St
Cookeville TN 38501-3125
Phone: (504) 842-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 66276 | Tennessee |
Profile Details
| NPI number | 1528422490 |
|---|---|
| LBN Legal business name | Taillac, Heather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528422490 | NPPES |
| Tennessee | MEDICAID | Q078896 |
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