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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1104827161 | NPPES |
| Pennsylvania | Other | 834323 | HIGHMARK BLUE CROSS/BLUE |
| Pennsylvania | MEDICAID | 0015942410001 | HIGHMARK BLUE CROSS/BLUE |
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