Tracy, Ryan Patrick
Tracy, Ryan Patrick is an sole proprietor health care provider with primary practice located at 200 Yellow Pine Dr , Hattiesburg MS 39402-9233. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Tracy, Ryan Patrick can be contacted via phone (228) 861-7740.Contact Information
Primary practice address
200 Yellow Pine Dr
Hattiesburg MS 39402-9233
Phone: (228) 861-7740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | D1208 | Mississippi |
Profile Details
| NPI number | 1467770370 |
|---|---|
| LBN Legal business name | Tracy, Ryan Patrick |
| Credentials | MS, RD, LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2010 |
| Last updated | May 17th, 2010 - about 16 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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