Tracey, Jacqueline
Tracey, Jacqueline is an individual health care provider with primary practice located at 200 Medical Park Dr Suite 430, Concord NC 28025-2982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Tracey, Jacqueline can be contacted via phone (704) 403-7070.Contact Information
Primary practice address
200 Medical Park Dr Suite 430
Concord NC 28025-2982
Phone: (704) 403-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2015-01537 | North Carolina |
Profile Details
| NPI number | 1013136415 |
|---|---|
| LBN Legal business name | Tracey, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Sep 21st, 2018 - about 7 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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