Provider Demographics
NPI:1730216995
Name:COOL SPRINGS ALLERGY ASSOCIATES P.C.
Entity type:Organization
Organization Name:COOL SPRINGS ALLERGY ASSOCIATES P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:BELLEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-771-8800
Mailing Address - Street 1:1909 MALLORY LN
Mailing Address - Street 2:SUITE 308
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-771-8800
Mailing Address - Fax:615-771-5664
Practice Address - Street 1:1909 MALLORY LN
Practice Address - Street 2:SUITE 308
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-771-8800
Practice Address - Fax:615-771-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3720989OtherMEDICARE GROUP NUMBER
H92021Medicare UPIN
A99258Medicare UPIN