Malsom, Tracie
Malsom, Tracie is an individual health care provider with primary practice located at 1695 43Rd St S , Fargo ND 58103-3317. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Malsom, Tracie can be contacted via phone (701) 235-3937.Contact Information
Primary practice address
1695 43Rd St S
Fargo ND 58103-3317
Phone: (701) 235-3937
Fax: (701) 356-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003360 | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 642 | North Dakota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3046 | Minnesota |
Profile Details
| NPI number | 1720038441 |
|---|---|
| LBN Legal business name | Malsom, Tracie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 27th, 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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