Pesut, Tracy A
Pesut, Tracy A is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 130 , Knoxville TN 37923-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Pesut, Tracy A can be contacted via phone (865) 690-4861.Contact Information
Primary practice address
9430 Park West Blvd Ste 130
Knoxville TN 37923-4205
Phone: (865) 690-4861
Fax: (865) 560-8525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 39766 | Tennessee |
Profile Details
| NPI number | 1295751634 |
|---|---|
| LBN Legal business name | Pesut, Tracy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Oct 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295751634 | NPPES |
| Tennessee | MEDICAID | 3332469 |
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