Broadhead, Tracy Lynn
Broadhead, Tracy Lynn is an individual health care provider with primary practice located at 13923 S Haystack Peak Cir , Riverton UT 84096-6453. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Broadhead, Tracy Lynn can be contacted via phone (801) 506-6695.Contact Information
Primary practice address
13923 S Haystack Peak Cir
Riverton UT 84096-6453
Phone: (801) 506-6695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1245616903 |
|---|---|
| LBN Legal business name | Broadhead, Tracy Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2015 |
| Last updated | Aug 5th, 2015 - about 10 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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