Eskra, Tracy Lyn

Eskra, Tracy Lyn is an individual health care provider with primary practice located at 2700 Wayne Memorial Dr , Goldsboro NC 27534-9494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Eskra, Tracy Lyn can be contacted via phone (919) 731-6462.

Contact Information

Primary practice address
2700 Wayne Memorial Dr Goldsboro NC 27534-9494
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 067916L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010-01832 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD067916-L Pennsylvania

Profile Details

NPI number 1558368522
LBN Legal business name Eskra, Tracy Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated May 4th, 2011 - about 13 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 1558368522 NPPES
Pennsylvania MEDICAID 01743430
Pennsylvania MEDICAID 0017434300001
Pennsylvania MEDICAID PENDING

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