Basso, Tracy Lee

Basso, Tracy Lee is an sole proprietor health care provider with primary practice located at 635 Anderson Rd Ste 19, Davis CA 95616-3505. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Basso, Tracy Lee can be contacted via phone (530) 758-1810.

Contact Information

Primary practice address
635 Anderson Rd Ste 19 Davis CA 95616-3505
Phone: (530) 758-1810
Fax: (530) 758-1896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E36260 California

Profile Details

NPI number 1235135427
LBN Legal business name Basso, Tracy Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated May 23rd, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235135427 NPPES
California MEDICAID 000E36260

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