Beaver, Tracy L
Beaver, Tracy L is an individual health care provider with primary practice located at 831 Dillon Dr , Richmond IN 47374-8048. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Beaver, Tracy L can be contacted via phone (765) 983-8000.Contact Information
Primary practice address
831 Dillon Dr
Richmond IN 47374-8048
Phone: (765) 983-8000
Fax: (765) 983-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 28132815A | Indiana |
Profile Details
| NPI number | 1144467705 |
|---|---|
| LBN Legal business name | Beaver, Tracy L |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2009 |
| Last updated | Jan 19th, 2009 - about 16 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 | 1144467705 | NPPES |
| Indiana | Other | 28132815A | RN |
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