Evans, Tracy

Evans, Tracy is an individual health care provider with primary practice located at 555 N Duke St , Lancaster PA 17602-2250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Evans, Tracy can be contacted via phone (717) 544-5511.

Contact Information

Primary practice address
555 N Duke St Lancaster PA 17602-2250
Phone: (717) 544-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 219458-1 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD434688 Pennsylvania

Profile Details

NPI number 1467479402
LBN Legal business name Evans, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Oct 6th, 2014 - about 12 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 1467479402 NPPES
New York MEDICAID 02512018

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