Wiles, Tracey Jeannette
Wiles, Tracey Jeannette is an individual health care provider with primary practice located at 1598 E Main St , Torrington CT 06790-3519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wiles, Tracey Jeannette can be contacted via phone (860) 489-8444.Contact Information
Primary practice address
1598 E Main St
Torrington CT 06790-3519
Phone: (860) 489-8444
Fax: (860) 496-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000270 | Connecticut |
Profile Details
| NPI number | 1396899282 |
|---|---|
| LBN Legal business name | Wiles, Tracey Jeannette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Oct 29th, 2021 - about 5 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 | 1396899282 | NPPES |
| Connecticut | MEDICAID | 5002704 |
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