Short, Tracee Chavawn
Short, Tracee Chavawn is an sole proprietor health care provider with primary practice located at 9618 Jefferson Hwy Ste D149 , Baton Rouge LA 70809-9636. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Short, Tracee Chavawn can be contacted via phone (478) 276-0513.Contact Information
Primary practice address
9618 Jefferson Hwy Ste D149
Baton Rouge LA 70809-9636
Phone: (478) 276-0513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E-6871 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.206571 | Louisiana |
Profile Details
| NPI number | 1780813311 |
|---|---|
| LBN Legal business name | Short, Tracee Chavawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Aug 19th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780813311 | NPPES |
| Louisiana | MEDICAID | 2347799 | |
| Louisiana | Other | 324582YUB6 |
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