Byrne, Tracy S

Byrne, Tracy S is an individual health care provider with primary practice located at 6301 University Commons Suite 310, South Bend IN 46635-1571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Byrne, Tracy S can be contacted via phone (574) 232-1471.

Contact Information

Primary practice address
6301 University Commons Suite 310 South Bend IN 46635-1571
Fax: (574) 239-8511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10357 New Hampshire

Profile Details

NPI number 1639169733
LBN Legal business name Byrne, Tracy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 6th, 2011 - about 13 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 1639169733 NPPES
New Hampshire MEDICAID 30011688
New Hampshire Other HL0041
New Hampshire Other 364352
New Hampshire Other 0704678
New Hampshire Other 5084658
New Hampshire Other NH0008644
New Hampshire Other 0105013Y0NH02
New Hampshire Other 2690350

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