Reed, Tracy Maria
Reed, Tracy Maria is an sole proprietor health care provider with primary practice located at 5937 W Florissant Ave , Saint Louis MO 63136-4952. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Reed, Tracy Maria can be contacted via phone (314) 381-2224.Contact Information
Primary practice address
5937 W Florissant Ave
Saint Louis MO 63136-4952
Phone: (314) 381-2224
Fax: (314) 381-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000797 | Missouri |
Profile Details
| NPI number | 1871593178 |
|---|---|
| LBN Legal business name | Reed, Tracy Maria |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1871593178 | NPPES |
| Missouri | MEDICAID | 304715402 | |
| Missouri | Other | 463755 | |
| Missouri | Other | 2700520 | |
| Missouri | Other | 480035186 | |
| Missouri | Other | 431866203 | |
| Missouri | Other | 550812530 | |
| Missouri | Other | 7805244 | |
| Missouri | Other | 133181 |
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