Sambolin, Traci Dawn
Sambolin, Traci Dawn is an sole proprietor health care provider with primary practice located at 1 Hospital Dr # Ce306 , Columbia MO 65212-3050. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sambolin, Traci Dawn can be contacted via phone (573) 882-8863.Contact Information
Primary practice address
1 Hospital Dr # Ce306
Columbia MO 65212-3050
Phone: (573) 882-8863
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2013017560 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2013017560 | Missouri |
Profile Details
NPI number | 1457668295 |
---|---|
LBN Legal business name | Sambolin, Traci Dawn |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2010 |
Last updated | Feb 21st, 2023 - about last year |
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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