Coup, Tracy L

Coup, Tracy L is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coup, Tracy L can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 39130 West Virginia

Profile Details

NPI number 1538249693
LBN Legal business name Coup, Tracy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 9th, 2012 - about 13 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 1538249693 NPPES
West Virginia MEDICAID 3810001384

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