Butler Ross, Tracey
Butler Ross, Tracey is an sole proprietor health care provider with primary practice located at 1044 Scott St , Covington KY 41011-3159. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Butler Ross, Tracey can be contacted via phone (859) 291-1818.Contact Information
Primary practice address
1044 Scott St
Covington KY 41011-3159
Phone: (859) 291-1818
Fax: (859) 291-6441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6627 | Kentucky |
Profile Details
| NPI number | 1053407965 |
|---|---|
| LBN Legal business name | Butler Ross, Tracey |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1053407965 | NPPES |
| Kentucky | MEDICAID | 45002664 | |
| Kentucky | MEDICAID | 2446642 | |
| Kentucky | MEDICAID | 60001856 |
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