Bergeron, Tracy

Bergeron, Tracy is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Bergeron, Tracy can be contacted via phone (401) 444-6966.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-6966
Fax: (401) 444-5462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LDN00554 Rhode Island

Profile Details

NPI number 1356417513
LBN Legal business name Bergeron, Tracy
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Popular Providers