Aldridge, Tracy A
Aldridge, Tracy A is an individual health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Aldridge, Tracy A can be contacted via phone (217) 757-8100.Contact Information
Primary practice address
520 N 4Th St
Springfield IL 62702-5238
Phone: (217) 757-8100
Fax: (217) 757-8161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036103569 | Illinois |
Profile Details
| NPI number | 1154310027 |
|---|---|
| LBN Legal business name | Aldridge, Tracy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Oct 16th, 2020 - about 4 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 | 1154310027 | NPPES |
| Illinois | MEDICAID | 036103569 |
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