Columb, Tracey Marie

Columb, Tracey Marie is an individual health care provider with primary practice located at 700 Katlian St , Sitka AK 99835-7359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Columb, Tracey Marie can be contacted via phone (907) 747-5861.

Contact Information

Primary practice address
700 Katlian St Sitka AK 99835-7359
Fax: (907) 747-5415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6821 Alaska

Profile Details

NPI number 1912178526
LBN Legal business name Columb, Tracey Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2008
Last updated Sep 25th, 2013 - about 11 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 1912178526 NPPES
Alaska Other 6821 STATE LICENSE
Alaska MEDICAID MD1196 STATE LICENSE

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