Evans, Tracey L
Evans, Tracey L is an individual health care provider with primary practice located at 609 W Germantown Pike Bldg Suite280 , East Norriton PA 19403-4243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Evans, Tracey L can be contacted via phone (484) 622-7440.Contact Information
Primary practice address
609 W Germantown Pike Bldg Suite280
East Norriton PA 19403-4243
Phone: (484) 622-7440
Fax: (484) 622-7455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD419780 | Pennsylvania |
Profile Details
| NPI number | 1033152319 |
|---|---|
| LBN Legal business name | Evans, Tracey L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Sep 21st, 2024 - about 2 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 | 1033152319 | NPPES |
| Pennsylvania | MEDICAID | 0019113850001 |
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