Jeffrey, Tracy

Jeffrey, Tracy is an sole proprietor health care provider with primary practice located at 1626 S Beech Ct , Broken Arrow OK 74012-6205. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jeffrey, Tracy can be contacted via phone (918) 240-7313.

Contact Information

Primary practice address
1626 S Beech Ct Broken Arrow OK 74012-6205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1780364851
LBN Legal business name Jeffrey, Tracy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 2023 - about 3 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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