Corner, Tracy

Corner, Tracy is an individual health care provider with primary practice located at 136 N San Mateo Dr Suite 101, San Mateo CA 94401-2777. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Corner, Tracy can be contacted via phone (650) 373-0777.

Contact Information

Primary practice address
136 N San Mateo Dr Suite 101 San Mateo CA 94401-2777
Phone: (650) 373-0777
Fax: (650) 373-0778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT29823 California

Profile Details

NPI number 1033258421
LBN Legal business name Corner, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1033258421 NPPES
California Other PT29823 LPT

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