Individual
DR. CAROLE LYNNETT ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
345 W BROAD ST STE 2, COOKEVILLE, TN 38501
(931) 854-9222
(931) 854-9902
Mailing address
345 W BROAD ST STE 2, COOKEVILLE, TN 38501-2331
(931) 854-9222
(931) 854-9902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0000000548
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM0000000548
TN
213ES0131X
Foot Surgery Podiatrist
DPM0000000548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002462
NHC HEALTH BENEFIT
TN
01
—
0789170001
MEDICARE DME
TN
05
—
3351893
—
TN
01
—
4011516
BLUE CROSS BLUE SHIELD
TN
01
—
480032715
MEDICARE RAILROAD
TN
01
—
621360419
TAX ID GROUP
TN
01
—
895814000
CIGNA HEALTHCARE INS
TN
01
—
DPM0000000548
PODIATRY LICENSE
TN
Enumeration date
08/09/2006
Last updated
03/07/2023
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