Poston, Tracy Sandford

Poston, Tracy Sandford is an individual health care provider with primary practice located at 903 N 2Nd St , Phoenix AZ 85004-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Poston, Tracy Sandford can be contacted via phone (602) 416-7600.

Contact Information

Primary practice address
903 N 2Nd St Phoenix AZ 85004-1906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2503 Arizona

Profile Details

NPI number 1588657662
LBN Legal business name Poston, Tracy Sandford
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 4th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588657662 NPPES
Other Z144795 MEDICARE PTAN
MEDICAID WCLCJ70259 MEDICARE PTAN

Popular Providers