Tracy, John William

Tracy, John William is an individual health care provider with primary practice located at 1661 Turner Spur Rd , Fancy Gap VA 24328-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tracy, John William can be contacted via phone (276) 728-7212.

Contact Information

Primary practice address
1661 Turner Spur Rd Fancy Gap VA 24328-4365
Phone: (276) 728-7212
Fax: (276) 728-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101236128 Virginia

Profile Details

NPI number 1265409288
LBN Legal business name Tracy, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265409288 NPPES
Virginia MEDICAID 010137551
Virginia Other 0101236128

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