Overbeck, Tracie L

Overbeck, Tracie L is an individual health care provider with primary practice located at 166 Pasadena Drive Suite 150 , Lexington KY 40503-2938. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Overbeck, Tracie L can be contacted via phone (859) 276-1452.

Contact Information

Primary practice address
166 Pasadena Drive Suite 150 Lexington KY 40503-2938
Phone: (859) 276-1452
Fax: (859) 277-1237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 40012 Kentucky

Profile Details

NPI number 1881658805
LBN Legal business name Overbeck, Tracie L
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 30th, 2023 - about 2 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 1881658805 NPPES
Kentucky Other K092670 MEDICARE PTAN
Kentucky MEDICAID 64086788 MEDICARE PTAN

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