Butcher, Tracey Ellen

Butcher, Tracey Ellen is an individual health care provider with primary practice located at 1004 1St St N Ste 370 , Alabaster AL 35007-8605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Butcher, Tracey Ellen can be contacted via phone (205) 663-5547.

Contact Information

Primary practice address
1004 1St St N Ste 370 Alabaster AL 35007-8605
Phone: (205) 663-5547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22829 South Carolina

Profile Details

NPI number 1043252810
LBN Legal business name Butcher, Tracey Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 16th, 2021 - about 5 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 1043252810 NPPES
South Carolina Other 57-1004971024 BCBS OF SC
South Carolina Other 7073602 BCBS OF SC
South Carolina MEDICAID 228293 BCBS OF SC

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