Criss, Tracey
Criss, Tracey is an individual health care provider with primary practice located at 2017 Jefferson St Sw , Roanoke VA 24014-2419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Criss, Tracey can be contacted via phone (540) 981-8025.Contact Information
Primary practice address
2017 Jefferson St Sw
Roanoke VA 24014-2419
Phone: (540) 981-8025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101-052398 | Virginia |
Profile Details
| NPI number | 1477535920 |
|---|---|
| LBN Legal business name | Criss, Tracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 11th, 2011 - about 14 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 | 1477535920 | NPPES |
| Virginia | MEDICAID | 7104588 |
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