Eriksson, Tracy Peterson

Eriksson, Tracy Peterson is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Eriksson, Tracy Peterson can be contacted via phone (253) 838-2400.

Contact Information

Primary practice address
33501 1St Way S Federal Way WA 98003-6208
Phone: (253) 838-2400
Fax: (253) 874-1637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00040728 Washington

Profile Details

NPI number 1710912340
LBN Legal business name Eriksson, Tracy Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 18th, 2015 - about 11 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 1710912340 NPPES
Washington MEDICAID 8329310
Washington Other 8116ER
Washington Other MD1251W
Washington Other 0039572
Washington Other US5051515

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