Beech, Tracy Deon

Beech, Tracy Deon is an sole proprietor health care provider with primary practice located at 82 Highway 454 , Pineville LA 71360. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Beech, Tracy Deon can be contacted via phone (318) 443-9388.

Contact Information

Primary practice address
82 Highway 454 Pineville LA 71360
Fax: (318) 445-1544
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 86283 Louisiana

Profile Details

NPI number 1245498674
LBN Legal business name Beech, Tracy Deon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245498674 NPPES
Louisiana MEDICAID 1168181

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