Bryant, Tracey L

Bryant, Tracey L is an individual health care provider with primary practice located at 216 W 10Th Ave Suite 300, Kennewick WA 99336-6300. 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. Bryant, Tracey L can be contacted via phone (509) 586-5644.

Contact Information

Primary practice address
216 W 10Th Ave Suite 300 Kennewick WA 99336-6300
Phone: (509) 586-5644
Fax: (509) 586-5645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003465 Washington

Profile Details

NPI number 1962473256
LBN Legal business name Bryant, Tracey L
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962473256 NPPES
Washington MEDICAID 8349060

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