Tracey, Jennifer Joan

Tracey, Jennifer Joan is an individual health care provider with primary practice located at 1154 Porter Rd , Norfolk VA 23511-1214. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tracey, Jennifer Joan can be contacted via phone (757) 440-1838.

Contact Information

Primary practice address
1154 Porter Rd Norfolk VA 23511-1214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X Illinois

Profile Details

NPI number 1174659254
LBN Legal business name Tracey, Jennifer Joan
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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