Hammond, Tracie L
Hammond, Tracie L is an individual health care provider with primary practice located at 192 Tilley Dr , South Burlington VT 05403-4440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hammond, Tracie L can be contacted via phone (802) 847-2663.Contact Information
Primary practice address
192 Tilley Dr
South Burlington VT 05403-4440
Phone: (802) 847-2663
Fax: (802) 847-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 055-0031153 | Vermont |
Profile Details
| NPI number | 1629056817 |
|---|---|
| LBN Legal business name | Hammond, Tracie L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jan 21st, 2013 - about 12 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 | 1629056817 | NPPES |
| Vermont | MEDICAID | 9000239 |
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