Connor, Tracy Nickol

Connor, Tracy Nickol is an individual health care provider with primary practice located at 12230 Lioness Way , Parker CO 80134-5603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Connor, Tracy Nickol can be contacted via phone (720) 644-9355.

Contact Information

Primary practice address
12230 Lioness Way Parker CO 80134-5603
Phone: (720) 644-9355
Fax: (704) 355-7626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102920 North Carolina

Profile Details

NPI number 1104022896
LBN Legal business name Connor, Tracy Nickol
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated May 1st, 2024 - about 6 months 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 1104022896 NPPES
South Carolina MEDICAID 0596PA

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