Exley, Tracy Renee

Exley, Tracy Renee is an individual health care provider with primary practice located at 840 Guadalupe Pkwy , San Jose CA 95110. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Exley, Tracy Renee can be contacted via phone (408) 299-4841.

Contact Information

Primary practice address
840 Guadalupe Pkwy San Jose CA 95110
Phone: (408) 299-4841
Fax: (408) 299-2511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD173883 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD173883 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A108233 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A108233 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X A108233 California

Profile Details

NPI number 1033314794
LBN Legal business name Exley, Tracy Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jul 1st, 2018 - about 8 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 1033314794 NPPES
Oregon MEDICAID 181599

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