Iranshahr, Tracy
Iranshahr, Tracy is an sole proprietor health care provider with primary practice located at 2745 N Black Rock Rd , Buckeye AZ 85396-1813. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Iranshahr, Tracy can be contacted via phone (623) 537-7224.Contact Information
Primary practice address
2745 N Black Rock Rd
Buckeye AZ 85396-1813
Phone: (623) 537-7224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | SLPA10666 | Arizona |
Profile Details
| NPI number | 1003320334 |
|---|---|
| LBN Legal business name | Iranshahr, Tracy |
| Credentials | TRACY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2017 |
| Last updated | Nov 22nd, 2017 - about 7 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 | 1003320334 | NPPES |
| Arizona | Other | D04163830 | DRIVERS LICENSE |
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