Carter, Tracy Ellen

Carter, Tracy Ellen is an individual health care provider with primary practice located at 126 E Burke St , Martinsburg WV 25401-4302. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carter, Tracy Ellen can be contacted via phone (410) 598-3186.

Contact Information

Primary practice address
126 E Burke St Martinsburg WV 25401-4302
Phone: (410) 598-3186
Fax: (304) 725-9096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2125 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X 1916 West Virginia

Profile Details

NPI number 1114961141
LBN Legal business name Carter, Tracy Ellen
Credentials M.S., L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 30th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114961141 NPPES
Maryland MEDICAID 409607001
Maryland MEDICAID 409607000

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