Thompson, Tracy L
Thompson, Tracy L is an sole proprietor health care provider with primary practice located at 17980 N Journey Ln , Mount Vernon IL 62864-9291. 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. Thompson, Tracy L can be contacted via phone (618) 472-2066.Contact Information
Primary practice address
17980 N Journey Ln
Mount Vernon IL 62864-9291
Phone: (618) 472-2066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1407616303 |
|---|---|
| LBN Legal business name | Thompson, Tracy L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2024 |
| Last updated | Mar 20th, 2024 - about 6 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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