Harris, Tracy L.

Harris, Tracy L. is an sole proprietor health care provider with primary practice located at 3914 Murphy Canyon Rd Suite# A226, San Diego CA 92123-4491. He recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as his primary health care specialty. Harris, Tracy L. can be contacted via phone (858) 751-0315.

Contact Information

Primary practice address
3914 Murphy Canyon Rd Suite# A226 San Diego CA 92123-4491
Phone: (858) 751-0315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 550000104 California

Profile Details

NPI number 1154670404
LBN Legal business name Harris, Tracy L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Sep 10th, 2012 - about 14 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 1154670404 NPPES
California Other 550000104 DBA - AVALON HOSPICE & PALLIATIVE CARE
California MEDICAID HPC01791F DBA - AVALON HOSPICE & PALLIATIVE CARE

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