Crockett-Tully, Traci L
Crockett-Tully, Traci L is an sole proprietor health care provider with primary practice located at 1037 Jeramy Way , Grants Pass OR 97527-5112. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, which is considered as her primary health care specialty. Crockett-Tully, Traci L can be contacted via phone (541) 659-2224.Contact Information
Primary practice address
1037 Jeramy Way
Grants Pass OR 97527-5112
Phone: (541) 659-2224
Fax: (541) 787-6117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Health Information | 247000000X | 2223353-90 | Oregon |
Profile Details
| NPI number | 1588427314 |
|---|---|
| LBN Legal business name | Crockett-Tully, Traci L |
| Credentials | CPC, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 2024 - about last year |
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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