Berg, Tracy A
Berg, Tracy A is an sole proprietor health care provider with primary practice located at 16201 E Indiana Ave Ste 3100, Spokane Valley WA 99216-2830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Berg, Tracy A can be contacted via phone (509) 891-8904.Contact Information
Primary practice address
16201 E Indiana Ave Ste 3100
Spokane Valley WA 99216-2830
Phone: (509) 891-8904
Fax: (509) 344-3104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00032615 | Washington |
Profile Details
| NPI number | 1376637421 |
|---|---|
| LBN Legal business name | Berg, Tracy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 2nd, 2016 - about 8 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 | 1376637421 | NPPES |
| Washington | MEDICAID | 1123884 |
Popular Providers
-
Davis, Joseph Anton
122 W 7Th Ave 420, Spokane WA 99204-2349 -
Ball, Stephen K
1600 Sw Archer Rd , Gainesville FL 32610-4563 -
Rizvi, Adnan Z
122 W 7Th Ave Suite 420, Spokane WA 99204-2349 -
Pellow, Thomas R
122 W 7Th Ave 410 & 420, Spokane WA 99204-2349 -
Tehrani, Hassan Y.
910 W 5Th Ave Suite 1000, Spokane WA 99204-2966 -
Shah, Pravin
19 Bradhurst Ave Ste 700, Hawthorne NY 10532-2140 -
Murray, Stephen P
122 W 7Th Ave Suite 420, Spokane WA 99204-2349 -
Uribe, Alexander
100 E Lancaster Ave Ste 222 , Wynnewood PA 19096