Richardson, Tracey
Richardson, Tracey is an individual health care provider with primary practice located at 261 Belvoir Hwy , Greenville NC 27834-8193. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Richardson, Tracey can be contacted via phone (252) 695-6352.Contact Information
Primary practice address
261 Belvoir Hwy
Greenville NC 27834-8193
Phone: (252) 695-6352
Fax: (252) 695-6359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME100735 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013-00205 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD15845 | Hawaii |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN9975 | Florida |
Profile Details
| NPI number | 1902099716 |
|---|---|
| LBN Legal business name | Richardson, Tracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Aug 8th, 2014 - about 11 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 | 1902099716 | NPPES |
| North Carolina | MEDICAID | 5922865 |
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