Mercadante, Tracy Anne
Mercadante, Tracy Anne is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mercadante, Tracy Anne can be contacted via phone (781) 761-5208.Contact Information
Primary practice address
205 Burlington Rd
Bedford MA 01730-1406
Phone: (781) 761-5208
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1093081994 |
---|---|
LBN Legal business name | Mercadante, Tracy Anne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2012 |
Last updated | Feb 7th, 2023 - about last year |
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 | 1093081994 | NPPES |
Massachusetts | Other | 042611055 | TAX ID |
Massachusetts | Other | 99618201 | TAX ID |
Massachusetts | Other | 0000023532 | TAX ID |
Massachusetts | Other | 1004745 | TAX ID |
Massachusetts | Other | 1004745 | TAX ID |
Massachusetts | Other | M18633 | TAX ID |
Massachusetts | Other | 1303287 | TAX ID |
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