Pierret, Tracy John
Pierret, Tracy John is an individual health care provider with primary practice located at 901 4Th St Nw , Watertown SD 57201-1558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pierret, Tracy John can be contacted via phone (605) 886-8471.Contact Information
Primary practice address
901 4Th St Nw
Watertown SD 57201-1558
Phone: (605) 886-8471
Fax: (605) 886-9317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5890 | South Dakota |
Profile Details
| NPI number | 1700831534 |
|---|---|
| LBN Legal business name | Pierret, Tracy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Nov 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700831534 | NPPES |
| South Dakota | MEDICAID | 6701952 |
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