Brito, Tracy C
Brito, Tracy C is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is her primary health care specialty. Brito, Tracy C can be contacted via phone (815) 971-2000.Contact Information
Primary practice address
3401 N Perryville Rd
Rockford IL 61114-8011
Phone: (815) 971-2000
Fax: (815) 971-9447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036074111 | Illinois |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 036074111 | Illinois |
Profile Details
| NPI number | 1285669895 |
|---|---|
| LBN Legal business name | Brito, Tracy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 2nd, 2016 - about 9 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 | 1285669895 | NPPES |
| Illinois | Other | F400269517 | MEDICARE PTAN |
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