Gordon, Tracy Lee

Gordon, Tracy Lee is an sole proprietor health care provider with primary practice located at 333 E. College St , Alliance OH 44601. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gordon, Tracy Lee can be contacted via phone (234) 521-2363.

Contact Information

Primary practice address
333 E. College St Alliance OH 44601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 401096730610 Ohio

Profile Details

NPI number 1689064529
LBN Legal business name Gordon, Tracy Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689064529 NPPES
Ohio MEDICAID 0113868

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