Baltz, Tracy C

Baltz, Tracy C is an individual health care provider with primary practice located at 201 Executive Ct Suite A, Little Rock AR 72205-4536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Baltz, Tracy C can be contacted via phone (501) 224-5658.

Contact Information

Primary practice address
201 Executive Ct Suite A Little Rock AR 72205-4536
Fax: (501) 224-8114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E1801 Arkansas

Profile Details

NPI number 1881679033
LBN Legal business name Baltz, Tracy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881679033 NPPES
Arkansas MEDICAID 145620001

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