Shaw, Tracie

Shaw, Tracie is an sole proprietor health care provider with primary practice located at 5451 Walnut Ave , Chino CA 91710-2609. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Shaw, Tracie can be contacted via phone (909) 706-3877.

Contact Information

Primary practice address
5451 Walnut Ave Chino CA 91710-2609
Phone: (909) 706-3877
Fax: (909) 706-3942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X EL7024 California

Profile Details

NPI number 1659948321
LBN Legal business name Shaw, Tracie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2021
Last updated Jun 17th, 2021 - about 3 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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