Bilyeu, Traci D.

Bilyeu, Traci D. is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bilyeu, Traci D. can be contacted via phone (417) 269-7728.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 269-7728
Fax: (417) 269-7729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 111634 Missouri

Profile Details

NPI number 1073653135
LBN Legal business name Bilyeu, Traci D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 4th, 2022 - about 2 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 1073653135 NPPES
Missouri MEDICAID 220031271

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