Daniel, Tracy A.

Daniel, Tracy A. is an individual health care provider with primary practice located at 3200 S Gilbert Rd Ucextra, Chandler AZ 85286-5107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Daniel, Tracy A. can be contacted via phone (480) 471-6404.

Contact Information

Primary practice address
3200 S Gilbert Rd Ucextra Chandler AZ 85286-5107
Phone: (480) 471-6404
Fax: (480) 219-4915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3067 Arizona

Profile Details

NPI number 1205958386
LBN Legal business name Daniel, Tracy A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 31st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205958386 NPPES
Arizona MEDICAID 618135

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