Dillingham, Tracy
Dillingham, Tracy is an individual health care provider with primary practice located at 2314 Auburn Avenue , Cincinnati OH 45219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dillingham, Tracy can be contacted via phone (513) 287-6484.Contact Information
Primary practice address
2314 Auburn Avenue
Cincinnati OH 45219
Phone: (513) 287-6484
Fax: (513) 287-6580
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NM-11023 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.13917-NP | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | COA.10023-NM | Ohio |
Profile Details
NPI number | 1508020777 |
---|---|
LBN Legal business name | Dillingham, Tracy |
Credentials | CNP / CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2008 |
Last updated | Dec 21st, 2016 - about 9 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 | 1508020777 | NPPES |
Ohio | MEDICAID | 2877963 |
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