Brockman, Tracy Lee

Brockman, Tracy Lee is an individual health care provider with primary practice located at 1320 Celeste Dr , Modesto CA 95355-2402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brockman, Tracy Lee can be contacted via phone (209) 527-6900.

Contact Information

Primary practice address
1320 Celeste Dr Modesto CA 95355-2402
Phone: (209) 527-6900
Fax: (209) 524-7328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A87080 California

Profile Details

NPI number 1871553636
LBN Legal business name Brockman, Tracy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 11th, 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.

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