Thomas, Tracy L

Thomas, Tracy L is an sole proprietor health care provider with primary practice located at 111 S Broad St Ste 209 , Lancaster OH 43130. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Thomas, Tracy L can be contacted via phone (614) 230-6049.

Contact Information

Primary practice address
111 S Broad St Ste 209 Lancaster OH 43130
Phone: (614) 230-6049
Fax: (614) 928-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161575 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.305429 Ohio

Profile Details

NPI number 1871014183
LBN Legal business name Thomas, Tracy L
Credentials RN, LCDCIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated May 31st, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871014183 NPPES
Ohio Other RN.305429 RN LICENSE

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