Dysard, Tracy L
Dysard, Tracy L is an individual health care provider with primary practice located at 20930 Dupont Blvd Unit 202 , Georgetown DE 19947-1724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dysard, Tracy L can be contacted via phone (302) 202-3438.Contact Information
Primary practice address
20930 Dupont Blvd Unit 202
Georgetown DE 19947-1724
Phone: (302) 202-3438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 041-265219 | Illinois |
Profile Details
| NPI number | 1053385344 |
|---|---|
| LBN Legal business name | Dysard, Tracy L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 11th, 2023 - about 3 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 | 1053385344 | NPPES |
| Illinois | Other | L78334 | MEDICARE PRIOR 7/15/2007 |
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