Shellhorn, Tracy

Shellhorn, Tracy is an individual health care provider with primary practice located at 535 Roxbury Rd , Rockford IL 61107-5076. 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. Shellhorn, Tracy can be contacted via phone (815) 397-7212.

Contact Information

Primary practice address
535 Roxbury Rd Rockford IL 61107-5076
Phone: (815) 397-7212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209026644 Illinois

Profile Details

NPI number 1578276051
LBN Legal business name Shellhorn, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2022
Last updated Dec 30th, 2022 - about 3 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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