Trace, Amy L
Trace, Amy L is an individual health care provider with primary practice located at 493 Blackwell Rd Suite 202, Warrenton VA 20186-2639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Trace, Amy L can be contacted via phone (540) 347-4400.Contact Information
Primary practice address
493 Blackwell Rd Suite 202
Warrenton VA 20186-2639
Phone: (540) 347-4400
Fax: (540) 341-4766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101231302 | Virginia |
Profile Details
| NPI number | 1841308566 |
|---|---|
| LBN Legal business name | Trace, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Feb 23rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841308566 | NPPES |
| Virginia | MEDICAID | 10035414 |
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