Bullard, Tracy Elizabeth
Bullard, Tracy Elizabeth is an individual health care provider with primary practice located at 1249 Chicken Foot Rd , Hope Mills NC 28348-7525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bullard, Tracy Elizabeth can be contacted via phone (910) 423-1278.Contact Information
Primary practice address
1249 Chicken Foot Rd
Hope Mills NC 28348-7525
Phone: (910) 423-1278
Fax: (910) 423-2547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2002-01439 | North Carolina |
Profile Details
| NPI number | 1255334736 |
|---|---|
| LBN Legal business name | Bullard, Tracy Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | May 31st, 2013 - about 11 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 | 1255334736 | NPPES |
| North Carolina | MEDICAID | 891368C |
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