Colotta, Terry Andrew
Colotta, Terry Andrew is an individual health care provider with primary practice located at 205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colotta, Terry Andrew can be contacted via phone (731) 352-7907.Contact Information
Primary practice address
205 Hospital Dr Ste A
Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD23833 | Tennessee |
Profile Details
| NPI number | 1659374296 |
|---|---|
| LBN Legal business name | Colotta, Terry Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 14th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659374296 | NPPES |
| Tennessee | MEDICAID | 3070413 | |
| Tennessee | Other | MD23833 | |
| Tennessee | Other | PPRVPK9FO |
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