Reed, Tracy Maria

Reed, Tracy Maria is an sole proprietor health care provider with primary practice located at 5937 W Florissant Ave , Saint Louis MO 63136-4952. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Reed, Tracy Maria can be contacted via phone (314) 381-2224.

Contact Information

Primary practice address
5937 W Florissant Ave Saint Louis MO 63136-4952
Fax: (314) 381-1771
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000797 Missouri

Profile Details

NPI number 1871593178
LBN Legal business name Reed, Tracy Maria
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1871593178 NPPES
Missouri MEDICAID 304715402
Missouri Other 463755
Missouri Other 2700520
Missouri Other 480035186
Missouri Other 431866203
Missouri Other 550812530
Missouri Other 7805244
Missouri Other 133181

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