Ayers, Tracy Elizabeth
Ayers, Tracy Elizabeth is an individual health care provider with primary practice located at 11435 Venice Blvd , Los Angeles CA 90066-4028. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ayers, Tracy Elizabeth can be contacted via phone (310) 869-5842.Contact Information
Primary practice address
11435 Venice Blvd
Los Angeles CA 90066-4028
Phone: (310) 869-5842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | BOC243906 | California |
Profile Details
| NPI number | 1568964369 |
|---|---|
| LBN Legal business name | Ayers, Tracy Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2018 |
| Last updated | Mar 7th, 2018 - about 7 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 | 1568964369 | NPPES |
| California | Other | BOC243906 | BOARD OF CERTIFICATON |
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