Rock, Tracy Lynn

Rock, Tracy Lynn is an individual health care provider with primary practice located at 1001 Covington St , Youngstown OH 44510-1617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Rock, Tracy Lynn can be contacted via phone (330) 480-2371.

Contact Information

Primary practice address
1001 Covington St Youngstown OH 44510-1617
Phone: (330) 480-2371
Fax: (330) 480-3970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.12546-NP Ohio

Profile Details

NPI number 1477810588
LBN Legal business name Rock, Tracy Lynn
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Feb 25th, 2020 - about 6 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 1477810588 NPPES
Ohio Other H147921 MEDICARE PTAN
Ohio MEDICAID 0070452 MEDICARE PTAN

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