Sise, Tracy
Sise, Tracy is an sole proprietor health care provider with primary practice located at 1213 Coffee Rd Ste D , Modesto CA 95355-4229. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Sise, Tracy can be contacted via phone (209) 522-5238.Contact Information
Primary practice address
1213 Coffee Rd Ste D
Modesto CA 95355-4229
Phone: (209) 522-5238
Fax: (209) 522-4703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1477694628 |
|---|---|
| LBN Legal business name | Sise, Tracy |
| Credentials | COSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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