Kotnik, Tracy Ann
Kotnik, Tracy Ann is an sole proprietor health care provider with primary practice located at 2859 Aaronwood Ave Ne Unit 3, Massillon OH 44646-2371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kotnik, Tracy Ann can be contacted via phone (330) 832-2280.Contact Information
Primary practice address
2859 Aaronwood Ave Ne Unit 3
Massillon OH 44646-2371
Phone: (330) 832-2280
Fax: (330) 832-4732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35062187K | Ohio |
Profile Details
| NPI number | 1619967957 |
|---|---|
| LBN Legal business name | Kotnik, Tracy Ann |
| Credentials | M.D., F.A.A.F.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 2nd, 2010 - about 14 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 | 1619967957 | NPPES |
| Ohio | MEDICAID | 0936205 |
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