Serrato, Tracie A

Serrato, Tracie A is an individual health care provider with primary practice located at 2386 Faraday Ave , Carlsbad CA 92008-7221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Serrato, Tracie A can be contacted via phone (619) 320-5150.

Contact Information

Primary practice address
2386 Faraday Ave Carlsbad CA 92008-7221
Phone: (619) 320-5150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57495 California

Profile Details

NPI number 1689617938
LBN Legal business name Serrato, Tracie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 7th, 2024 - about 8 months 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 1689617938 NPPES
Arizona MEDICAID 045203

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