Maxwell, Tracy A
Maxwell, Tracy A is an individual health care provider with primary practice located at 602 W. University Avenue Family Medicine, Urbana IL 61801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Maxwell, Tracy A can be contacted via phone (217) 383-5162.Contact Information
Primary practice address
602 W. University Avenue Family Medicine
Urbana IL 61801
Phone: (217) 383-5162
Fax: (217) 383-7650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 209001233 | Illinois |
Profile Details
| NPI number | 1548311731 |
|---|---|
| LBN Legal business name | Maxwell, Tracy A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jun 11th, 2012 - about 13 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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