Edwards, Tracie Dawn

Edwards, Tracie Dawn is an sole proprietor health care provider with primary practice located at 7760 Route 417 W , Bolivar NY 14715. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Edwards, Tracie Dawn can be contacted via phone (585) 928-1657.

Contact Information

Primary practice address
7760 Route 417 W Bolivar NY 14715
Phone: (585) 928-1657
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 15000016138 New York
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X F03199 Pennsylvania

Profile Details

NPI number 1134384357
LBN Legal business name Edwards, Tracie Dawn
Credentials HEARING AID SPECIALI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated Mar 11th, 2009 - about 16 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 1134384357 NPPES
Pennsylvania Other F03199 HEARING AID DISPENSER
Pennsylvania Other 15000016138 HEARING AID DISPENSER

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