Moreland, Traci M.

Moreland, Traci M. is an individual health care provider with primary practice located at 1455 Harrison Ave Nw Suite 105, Canton OH 44708-2621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moreland, Traci M. can be contacted via phone (330) 453-9993.

Contact Information

Primary practice address
1455 Harrison Ave Nw Suite 105 Canton OH 44708-2621
Phone: (330) 453-9993
Fax: (330) 453-9996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-00-1745 Ohio

Profile Details

NPI number 1891836045
LBN Legal business name Moreland, Traci M.
Credentials MPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891836045 NPPES
Ohio MEDICAID 4169790001

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