Maccallum, Tracy Scott

Maccallum, Tracy Scott is an sole proprietor health care provider with primary practice located at 6926 Brockton Ave #8, Riverside CA 92506-3804. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Maccallum, Tracy Scott can be contacted via phone (951) 347-5179.

Contact Information

Primary practice address
6926 Brockton Ave #8 Riverside CA 92506-3804
Phone: (951) 347-5179
Fax: (951) 779-9541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1462 New Mexico
Other Service Providers / Specialist 174400000X MT007176 Texas

Profile Details

NPI number 1780709899
LBN Legal business name Maccallum, Tracy Scott
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
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.

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