Bastiaans, Tracey

Bastiaans, Tracey is an sole proprietor health care provider with primary practice located at 4 Live Oak Ct , Moultrie GA 31768-6783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bastiaans, Tracey can be contacted via phone (229) 785-2400.

Contact Information

Primary practice address
4 Live Oak Ct Moultrie GA 31768-6783
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X OT018067 Pennsylvania

Profile Details

NPI number 1952749582
LBN Legal business name Bastiaans, Tracey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2013
Last updated Jul 28th, 2023 - about last year

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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