Antoon, Tracy E
Antoon, Tracy E is an individual health care provider with primary practice located at 1914 Dr Martin Luther King Jr Blvd , New Bern NC 28560-4542. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Antoon, Tracy E can be contacted via phone (910) 378-5024.Contact Information
Primary practice address
1914 Dr Martin Luther King Jr Blvd
New Bern NC 28560-4542
Phone: (910) 378-5024
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 03-2-26353 | Ohio |
| Pharmacy Service Providers / Pharmacist | 183500000X | 19436 | North Carolina |
Profile Details
| NPI number | 1093791477 |
|---|---|
| LBN Legal business name | Antoon, Tracy E |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jan 21st, 2009 - about 17 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 | 1093791477 | NPPES |
| Ohio | MEDICAID | 2088762 |
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