Reece, Tracy Martin

Reece, Tracy Martin is an individual health care provider with primary practice located at 611 Toll Branch Rd , Johnson City TN 37601-5283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reece, Tracy Martin can be contacted via phone (423) 773-9721.

Contact Information

Primary practice address
611 Toll Branch Rd Johnson City TN 37601-5283
Phone: (423) 773-9721
Fax: (423) 743-2884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2011 Tennessee

Profile Details

NPI number 1083808885
LBN Legal business name Reece, Tracy Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Feb 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083808885 NPPES
Kentucky MEDICAID 7100078890
Kentucky MEDICAID 1511260

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