Cross, Tracy Glenn
Cross, Tracy Glenn is an sole proprietor health care provider with primary practice located at 250 Burkesville Rd , Albany KY 42602-1604. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cross, Tracy Glenn can be contacted via phone (606) 387-3000.Contact Information
Primary practice address
250 Burkesville Rd
Albany KY 42602-1604
Phone: (606) 387-3000
Fax: (606) 387-3307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33185 | Kentucky |
| Other Service Providers / Specialist | 174400000X | 33185 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 33185 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33185 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 33185 | Kentucky |
Profile Details
| NPI number | 1699778423 |
|---|---|
| LBN Legal business name | Cross, Tracy Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 21st, 2021 - about 3 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 | 1699778423 | NPPES |
| Kentucky | MEDICAID | 64033525 |
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