Dickerson, Tracy

Dickerson, Tracy is an individual health care provider with primary practice located at 2100 Dorchester Ave Dept. Of Surgery, Dorchester Center MA 02124-5615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dickerson, Tracy can be contacted via phone (617) 296-4000.

Contact Information

Primary practice address
2100 Dorchester Ave Dept. Of Surgery Dorchester Center MA 02124-5615
Phone: (617) 296-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 215 Massachusetts

Profile Details

NPI number 1356570634
LBN Legal business name Dickerson, Tracy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Apr 13th, 2010 - about 16 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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