Dallman, Tracy
Dallman, Tracy is an individual health care provider with primary practice located at 8111 S Emerson Ave , Indianapolis IN 46237-8601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Dallman, Tracy can be contacted via phone (317) 870-6736.Contact Information
Primary practice address
8111 S Emerson Ave
Indianapolis IN 46237-8601
Phone: (317) 870-6736
Fax: (317) 870-0499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01051055 | Indiana |
Profile Details
| NPI number | 1902810146 |
|---|---|
| LBN Legal business name | Dallman, Tracy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 30th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902810146 | NPPES |
| Indiana | MEDICAID | 200378740 |
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