George, Tracy Irene
George, Tracy Irene is an individual health care provider with primary practice located at University Of Utah 50 N Medical Dr , Salt Lake City UT 84132-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. George, Tracy Irene can be contacted via phone (505) 272-3203.Contact Information
Primary practice address
University Of Utah 50 N Medical Dr
Salt Lake City UT 84132-0001
Phone: (505) 272-3203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | MD20120889 | New Mexico |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 10552861-1205 | Utah |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10552861-1205 | Utah |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD20120889 | New Mexico |
Profile Details
| NPI number | 1083761142 |
|---|---|
| LBN Legal business name | George, Tracy Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Dec 10th, 2021 - about 5 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 | 1083761142 | NPPES |
| Louisiana | Other | MD.207588 | LOUISIANA MEDICAL LICENSE |
| Louisiana | Other | MD2012-0889 | LOUISIANA MEDICAL LICENSE |
| Louisiana | Other | 14173 | LOUISIANA MEDICAL LICENSE |
| Louisiana | Other | A62223 | LOUISIANA MEDICAL LICENSE |
| Louisiana | Other | ME 118408 | LOUISIANA MEDICAL LICENSE |
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