Davis, Tracie Lyn
Davis, Tracie Lyn is an individual health care provider with primary practice located at 8851 Center Dr Ste 210 , La Mesa CA 91942-3045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davis, Tracie Lyn can be contacted via phone (619) 463-7775.Contact Information
Primary practice address
8851 Center Dr Ste 210
La Mesa CA 91942-3045
Phone: (619) 463-7775
Fax: (619) 463-4181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A89865 | California |
Profile Details
| NPI number | 1275680738 |
|---|---|
| LBN Legal business name | Davis, Tracie Lyn |
| Credentials | M.D., FACOG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1275680738 | NPPES |
| Other | 9013016 | AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY |
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