Ticcony, Tracey Renee

Ticcony, Tracey Renee is an individual health care provider with primary practice located at 455 Barclay Cir Suite D, Rochester Hills MI 48307-4774. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ticcony, Tracey Renee can be contacted via phone (248) 852-9596.

Contact Information

Primary practice address
455 Barclay Cir Suite D Rochester Hills MI 48307-4774
Fax: (248) 852-9453
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704269996 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704269996 Michigan

Profile Details

NPI number 1013340108
LBN Legal business name Ticcony, Tracey Renee
Credentials N.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Jul 11th, 2024 - about 2 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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