Shaw, Tracy

Shaw, Tracy is an sole proprietor health care provider with primary practice located at 4100 Barbara Loop Se , Rio Rancho NM 87124-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shaw, Tracy can be contacted via phone (505) 702-8547.

Contact Information

Primary practice address
4100 Barbara Loop Se Rio Rancho NM 87124-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0141901 New Mexico

Profile Details

NPI number 1629514633
LBN Legal business name Shaw, Tracy
Credentials LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - about 8 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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