Tracy, Charles Alan
Tracy, Charles Alan is an individual health care provider with primary practice located at 40 Medical Park Suite 200, Wheeling WV 26003-6392. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Tracy, Charles Alan can be contacted via phone (304) 242-0590.Contact Information
Primary practice address
40 Medical Park Suite 200
Wheeling WV 26003-6392
Phone: (304) 242-0590
Fax: (304) 242-9740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 14893 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 35054828 | Ohio |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 14893 | West Virginia |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 35054828 | Ohio |
Profile Details
| NPI number | 1518953116 |
|---|---|
| LBN Legal business name | Tracy, Charles Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 14th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518953116 | NPPES |
| West Virginia | MEDICAID | 0114127000 | |
| West Virginia | Other | 14893 | |
| West Virginia | MEDICAID | 0859085 |
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