Bober, Tracy

Bober, Tracy is an individual health care provider with primary practice located at 1 Medical Park Suite 704, Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bober, Tracy can be contacted via phone (304) 243-3134.

Contact Information

Primary practice address
1 Medical Park Suite 704 Wheeling WV 26003
Phone: (304) 243-3134
Fax: (304) 243-3834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.16632-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN64876-FNP-BC West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN64876 West Virginia

Profile Details

NPI number 1962822189
LBN Legal business name Bober, Tracy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2014
Last updated May 20th, 2020 - about 6 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 1962822189 NPPES
Ohio MEDICAID 012655

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