O'Brien, Tracey Glenn

O'Brien, Tracey Glenn is an sole proprietor health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. O'Brien, Tracey Glenn can be contacted via phone (475) 210-5663.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4201
Fax: (475) 210-4079
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 077052 Connecticut

Profile Details

NPI number 1467914630
LBN Legal business name O'Brien, Tracey Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2019
Last updated May 10th, 2024 - 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.

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