Powell, Traci A
Powell, Traci A is an individual health care provider with primary practice located at 4439 State Route 159 Ste 150 , Chillicothe OH 45601-7833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Powell, Traci A can be contacted via phone (740) 779-8728.Contact Information
Primary practice address
4439 State Route 159 Ste 150
Chillicothe OH 45601-7833
Phone: (740) 779-8728
Fax: (740) 775-7855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 312729 | Ohio |
Profile Details
| NPI number | 1013149939 |
|---|---|
| LBN Legal business name | Powell, Traci A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2009 |
| Last updated | Dec 29th, 2020 - about 5 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 | 1013149939 | NPPES |
| Ohio | MEDICAID | 3016042 |
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