Delorm, Tracy Lynn
Delorm, Tracy Lynn is an sole proprietor health care provider with primary practice located at 9421 N Davies Rd , Lake Stevens WA 98258-9444. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Delorm, Tracy Lynn can be contacted via phone (425) 334-4001.Contact Information
Primary practice address
9421 N Davies Rd
Lake Stevens WA 98258-9444
Phone: (425) 334-4001
Fax: (425) 335-4003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9086 | Washington |
Profile Details
| NPI number | 1720171697 |
|---|---|
| LBN Legal business name | Delorm, Tracy Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720171697 | NPPES |
| Washington | Other | UNITED CONCORDIA | 1434898 |
| Washington | Other | 9086 | 1434898 |
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