Tracy, Nicolle

Tracy, Nicolle is an individual health care provider with primary practice located at 850 Sw 4Th St Ste 302 , Madras OR 97741-9629. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tracy, Nicolle can be contacted via phone (541) 475-6575.

Contact Information

Primary practice address
850 Sw 4Th St Ste 302 Madras OR 97741-9629
Phone: (541) 475-6575
Fax: (541) 475-4651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538857685
LBN Legal business name Tracy, Nicolle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2023
Last updated Apr 26th, 2023 - about 3 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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