Battle, Tracie M

Battle, Tracie M is an individual health care provider with primary practice located at 5045 N Memorial Pkwy Ste.D, Huntsville AL 35810-1077. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Battle, Tracie M can be contacted via phone (256) 859-0902.

Contact Information

Primary practice address
5045 N Memorial Pkwy Ste.D Huntsville AL 35810-1077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5312 Alabama

Profile Details

NPI number 1417120841
LBN Legal business name Battle, Tracie M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 7th, 2008 - about 18 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 1417120841 NPPES
Alabama MEDICAID 009961335

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