Baretela, Tracie
Baretela, Tracie is an individual health care provider with primary practice located at 2520 Cherry Ave , Bremerton WA 98310-4229. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Baretela, Tracie can be contacted via phone (360) 744-4949.Contact Information
Primary practice address
2520 Cherry Ave
Bremerton WA 98310-4229
Phone: (360) 744-4949
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PA10005007 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005007 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5610243-1206 | Utah |
Profile Details
NPI number | 1699734335 |
---|---|
LBN Legal business name | Baretela, Tracie |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Jan 4th, 2022 - about 2 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 | 1699734335 | NPPES |
Washington | MEDICAID | 8451411 |
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