Jayne, Tracy Lynn
Jayne, Tracy Lynn is an sole proprietor health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jayne, Tracy Lynn can be contacted via phone (318) 798-1514.Contact Information
Primary practice address
1729 Burrstone Rd
New Hartford NY 13413-1001
Phone: (318) 798-1514
Fax: (315) 624-1957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 012833 | New York |
Profile Details
| NPI number | 1851546659 |
|---|---|
| LBN Legal business name | Jayne, Tracy Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2008 |
| Last updated | Nov 12th, 2019 - about 6 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 | 1851546659 | NPPES |
| New York | MEDICAID | 03162567 |
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