Williams, Tracey
Williams, Tracey is an sole proprietor health care provider with primary practice located at 55 S State Ave , Indianapolis IN 46201-3802. She recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as her primary health care specialty. Williams, Tracey can be contacted via phone (317) 937-5732.Contact Information
Primary practice address
55 S State Ave
Indianapolis IN 46201-3802
Phone: (317) 937-5732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X |
Profile Details
| NPI number | 1265063622 |
|---|---|
| LBN Legal business name | Williams, Tracey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Feb 3rd, 2020 - about 6 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 | 1265063622 | NPPES |
| Indiana | MEDICAID | 0460368345 |
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