Roesing, Tracey

Roesing, Tracey is an individual health care provider with primary practice located at 500 Old York Rd Suite #108, Jenkintown PA 19046-2852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roesing, Tracey can be contacted via phone (215) 481-2725.

Contact Information

Primary practice address
500 Old York Rd Suite #108 Jenkintown PA 19046-2852
Fax: (215) 481-3013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD420073 Pennsylvania

Profile Details

NPI number 1134122286
LBN Legal business name Roesing, Tracey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 11th, 2014 - about 10 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 1134122286 NPPES
Pennsylvania MEDICAID 0019538210003

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