Sanford, Tracy Smith

Sanford, Tracy Smith is an sole proprietor health care provider with primary practice located at 1151 S Belmont Ave Suite 101, Okmulgee OK 74447-6307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sanford, Tracy Smith can be contacted via phone (918) 759-2200.

Contact Information

Primary practice address
1151 S Belmont Ave Suite 101 Okmulgee OK 74447-6307
Phone: (918) 759-2200
Fax: (918) 759-2206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3598 Oklahoma

Profile Details

NPI number 1346356862
LBN Legal business name Sanford, Tracy Smith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jun 11th, 2008 - about 18 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 1346356862 NPPES
Oklahoma Other 080194475 RAILROAD MEDICARE
Oklahoma MEDICAID 100223390B RAILROAD MEDICARE

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