Wilcox, Tracey Lynn
Wilcox, Tracey Lynn is an individual health care provider with primary practice located at 5005 Ruston Way Ste 125, Tacoma WA 98402-5314. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wilcox, Tracey Lynn can be contacted via phone (253) 759-4522.Contact Information
Primary practice address
5005 Ruston Way Ste 125
Tacoma WA 98402-5314
Phone: (253) 759-4522
Fax: (253) 759-4699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9102446 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 60413586 | Washington |
Profile Details
| NPI number | 1881675015 |
|---|---|
| LBN Legal business name | Wilcox, Tracey Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Feb 20th, 2015 - about 8 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 | 1881675015 | NPPES |
| Florida | MEDICAID | 2916622000 | |
| Florida | Other | 336140 |
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