Prizant, Tracy Lynn

Prizant, Tracy Lynn is an individual health care provider with primary practice located at 5770 Baum Blvd Ste 200, Pittsburgh PA 15206-3763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Prizant, Tracy Lynn can be contacted via phone (412) 661-5500.

Contact Information

Primary practice address
5770 Baum Blvd Ste 200 Pittsburgh PA 15206-3763
Phone: (412) 661-5500
Fax: (412) 661-4365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD057723L Pennsylvania

Profile Details

NPI number 1104827161
LBN Legal business name Prizant, Tracy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Oct 15th, 2010 - about 15 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 1104827161 NPPES
Pennsylvania Other 834323 HIGHMARK BLUE CROSS/BLUE
Pennsylvania MEDICAID 0015942410001 HIGHMARK BLUE CROSS/BLUE

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