Russell, Tracie

Russell, Tracie is an sole proprietor health care provider with primary practice located at 710 W Poinsetta Ave , Toledo OH 43612-3246. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Russell, Tracie can be contacted via phone (419) 973-9209.

Contact Information

Primary practice address
710 W Poinsetta Ave Toledo OH 43612-3246
Phone: (419) 973-9209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1134584881
LBN Legal business name Russell, Tracie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2015
Last updated Dec 23rd, 2015 - about 11 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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