Pulliam, Tracy
Pulliam, Tracy is an individual health care provider with primary practice located at 1 Hospital Drive Se Crestwood Hospital, Huntsville AL 35801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pulliam, Tracy can be contacted via phone (256) 429-5196.Contact Information
Primary practice address
1 Hospital Drive Se Crestwood Hospital
Huntsville AL 35801
Phone: (256) 429-5196
Fax: (256) 429-4573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26489 | Alabama |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 26489 | Alabama |
Profile Details
| NPI number | 1518095124 |
|---|---|
| LBN Legal business name | Pulliam, Tracy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Nov 23rd, 2010 - about 16 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 | 1518095124 | NPPES |
| Alabama | Other | 510I110424 | MEDICARE |
| Alabama | MEDICAID | 109222 | MEDICARE |
| Alabama | Other | 515-97252 | MEDICARE |
| Alabama | Other | 51539247 | MEDICARE |
| Alabama | MEDICAID | 051558692 | MEDICARE |
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