Gonzales, Tracy L
Gonzales, Tracy L is an individual health care provider with primary practice located at 2540 N Silver St , Silver City NM 88061-7118. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gonzales, Tracy L can be contacted via phone (575) 538-3205.Contact Information
Primary practice address
2540 N Silver St
Silver City NM 88061-7118
Phone: (575) 538-3205
Fax: (575) 388-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1336472927 |
|---|---|
| LBN Legal business name | Gonzales, Tracy L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Feb 17th, 2015 - 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 | 1336472927 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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