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:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033258421 | NPPES |
California | Other | PT29823 | LPT |
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