Love, Tracy Viviansue

Love, Tracy Viviansue is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort Meade MD 20755-7081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Love, Tracy Viviansue can be contacted via phone (301) 677-8138.

Contact Information

Primary practice address
2480 Llewellyn Ave Fort Meade MD 20755-7081
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101254479 Virginia

Profile Details

NPI number 1578827325
LBN Legal business name Love, Tracy Viviansue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Mar 17th, 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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