Burke, Tracie Poff
Burke, Tracie Poff is an individual health care provider with primary practice located at 13900 Hull Street Rd , Midlothian VA 23112-2004. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burke, Tracie Poff can be contacted via phone (804) 639-8900.Contact Information
Primary practice address
13900 Hull Street Rd
Midlothian VA 23112-2004
Phone: (804) 639-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202004631 | Virginia |
Profile Details
| NPI number | 1053400614 |
|---|---|
| LBN Legal business name | Burke, Tracie Poff |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Sep 1st, 2022 - about 3 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 | 1053400614 | NPPES |
| Virginia | MEDICAID | 010104696 |
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