Crear, Tracy Manuel
Crear, Tracy Manuel is an individual health care provider with primary practice located at 3508 Groom Rd , Baker LA 70714-3508. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Crear, Tracy Manuel can be contacted via phone (225) 374-3934.Contact Information
Primary practice address
3508 Groom Rd
Baker LA 70714-3508
Phone: (225) 374-3934
Fax: (225) 374-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4541 | Louisiana |
Profile Details
| NPI number | 1588799084 |
|---|---|
| LBN Legal business name | Crear, Tracy Manuel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 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 | 1588799084 | NPPES |
| Louisiana | MEDICAID | 1845418 |
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