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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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