Phillips, Tracy B
Phillips, Tracy B is an individual health care provider with primary practice located at 310 Ne Tudor Rd , Lees Summit MO 64086-5794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Phillips, Tracy B can be contacted via phone (816) 347-0303.Contact Information
Primary practice address
310 Ne Tudor Rd
Lees Summit MO 64086-5794
Phone: (816) 347-0303
Fax: (816) 347-0160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 114873 | Missouri |
Profile Details
| NPI number | 1376527051 |
|---|---|
| LBN Legal business name | Phillips, Tracy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Apr 17th, 2022 - about 3 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 | 1376527051 | NPPES |
| Missouri | MEDICAID | 209787712 |
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