Deal, Tracey C

Deal, Tracey C is an individual health care provider with primary practice located at 1001 Hioaks Rd , Richmond VA 23225-4029. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Deal, Tracey C can be contacted via phone (804) 320-7139.

Contact Information

Primary practice address
1001 Hioaks Rd Richmond VA 23225-4029
Phone: (804) 320-7139
Fax: (804) 323-0153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101053916 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101053916 Virginia

Profile Details

NPI number 1275595118
LBN Legal business name Deal, Tracey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 21st, 2018 - about 7 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 1275595118 NPPES
Virginia MEDICAID 006724744

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