Butler, Tracey M.

Butler, Tracey M. is an individual health care provider with primary practice located at 8401 Market St , Youngstown OH 44512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Butler, Tracey M. can be contacted via phone (330) 729-2929.

Contact Information

Primary practice address
8401 Market St Youngstown OH 44512
Phone: (330) 729-2929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1103844 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN.395377 Ohio

Profile Details

NPI number 1821051012
LBN Legal business name Butler, Tracey M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2006
Last updated Apr 25th, 2023 - about 2 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 1821051012 NPPES
Ohio Other P01356545 MEDICARE RAILROAD
Ohio Other H190010 MEDICARE RAILROAD
Ohio Other 000000838469 MEDICARE RAILROAD
Ohio MEDICAID 2643812 MEDICARE RAILROAD

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