Ediger, Tracy R
Ediger, Tracy R is an sole proprietor health care provider with primary practice located at 700 Childrens Dr Section Of Gastroenterology, Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Ediger, Tracy R can be contacted via phone (614) 722-2600.Contact Information
Primary practice address
700 Childrens Dr Section Of Gastroenterology
Columbus OH 43205-2664
Phone: (614) 722-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 35120536 | Ohio |
Profile Details
| NPI number | 1699965798 |
|---|---|
| LBN Legal business name | Ediger, Tracy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Nov 23rd, 2022 - 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 | 1699965798 | NPPES |
| Ohio | Other | H161300 | CGS - MEDICARE |
| Ohio | MEDICAID | 0077593 | CGS - MEDICARE |
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