Green, Tracey D

Green, Tracey D is an individual health care provider with primary practice located at 2345 E Prater Way Suite 207, Sparks NV 89434-9600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Green, Tracey D can be contacted via phone (775) 356-4547.

Contact Information

Primary practice address
2345 E Prater Way Suite 207 Sparks NV 89434-9600
Phone: (775) 356-4547
Fax: (775) 356-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7233 Nevada

Profile Details

NPI number 1487631768
LBN Legal business name Green, Tracey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 5th, 2013 - about 13 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 1487631768 NPPES
Other 1487631768 NPI
Other 11040458 NPI

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