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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689064529 | NPPES |
| Ohio | MEDICAID | 0113868 |
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