Godfrey, Tracy Alaine
Godfrey, Tracy Alaine is an individual health care provider with primary practice located at 6151 N Main Street Rd , Webb City MO 64870-8189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Godfrey, Tracy Alaine can be contacted via phone (417) 781-0408.Contact Information
Primary practice address
6151 N Main Street Rd
Webb City MO 64870-8189
Phone: (417) 781-0408
Fax: (417) 556-5377
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 115438 | Missouri |
Profile Details
NPI number | 1104828714 |
---|---|
LBN Legal business name | Godfrey, Tracy Alaine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Mar 17th, 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 | 1104828714 | NPPES |
Oklahoma | MEDICAID | 100179800A | |
Oklahoma | MEDICAID | 100405220D | |
Oklahoma | MEDICAID | 204685424 |
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