Prince, Tracy

Prince, Tracy is an individual health care provider with primary practice located at 2030 Thistle Hill Dr Suite 100, Spring Grove PA 17362-1159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prince, Tracy can be contacted via phone (717) 225-9869.

Contact Information

Primary practice address
2030 Thistle Hill Dr Suite 100 Spring Grove PA 17362-1159
Phone: (717) 225-9869
Fax: (717) 225-6552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010945L Pennsylvania

Profile Details

NPI number 1053335307
LBN Legal business name Prince, Tracy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 17th, 2021 - about 4 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 1053335307 NPPES
Pennsylvania Other 2525814 CIGNA
Pennsylvania Other 7989331 CIGNA
Pennsylvania Other 50097247 CIGNA
Pennsylvania Other 1386391 CIGNA
Pennsylvania MEDICAID 0019165970004 CIGNA
Pennsylvania Other P010738 CIGNA

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