Stiller, Tracy Ann

Stiller, Tracy Ann is an sole proprietor health care provider with primary practice located at 11650 W 2Nd Pl , Lakewood CO 80228-1527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stiller, Tracy Ann can be contacted via phone (720) 321-5200.

Contact Information

Primary practice address
11650 W 2Nd Pl Lakewood CO 80228-1527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0041100 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41100 Colorado

Profile Details

NPI number 1467424259
LBN Legal business name Stiller, Tracy Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jan 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467424259 NPPES
Colorado MEDICAID 81709021

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