Tracy, Brett Mitchell
Tracy, Brett Mitchell is an individual health care provider with primary practice located at 1581 Dodd Dr Fl 1 , Columbus OH 43210-1257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Tracy, Brett Mitchell can be contacted via phone (614) 293-2101.Contact Information
Primary practice address
1581 Dodd Dr Fl 1
Columbus OH 43210-1257
Phone: (614) 293-2101
Fax: (614) 293-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 35139896 | Ohio |
Profile Details
| NPI number | 1396087169 |
|---|---|
| LBN Legal business name | Tracy, Brett Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2013 |
| Last updated | Nov 17th, 2020 - about 5 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 | 1396087169 | NPPES |
| Ohio | MEDICAID | 0412070 |
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