Hale-Smith, Tracie Lynn
Hale-Smith, Tracie Lynn is an individual health care provider with primary practice located at 1123 Washington St , Vicksburg MS 39183-2959. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hale-Smith, Tracie Lynn can be contacted via phone (601) 636-2756.Contact Information
Primary practice address
1123 Washington St
Vicksburg MS 39183-2959
Phone: (601) 636-2756
Fax: (601) 638-0071
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | E07658 | Mississippi |
Profile Details
NPI number | 1548374424 |
---|---|
LBN Legal business name | Hale-Smith, Tracie Lynn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1548374424 | NPPES |
Mississippi | Other | E07658 | STATE LICENSE |
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