Tracy, Dale Elizabeth
Tracy, Dale Elizabeth is an sole proprietor health care provider with primary practice located at 101 E Chesapeake Ave Suite 202, Towson MD 21286-5338. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tracy, Dale Elizabeth can be contacted via phone (410) 836-9622.Contact Information
Primary practice address
101 E Chesapeake Ave Suite 202
Towson MD 21286-5338
Phone: (410) 836-9622
Fax: (410) 836-9632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCO 893 | Maryland |
Profile Details
| NPI number | 1326188525 |
|---|---|
| LBN Legal business name | Tracy, Dale Elizabeth |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326188525 | NPPES |
| Maryland | Other | 1X84 | BCBS PPO |
| Maryland | Other | 7183355 | BCBS PPO |
| Maryland | Other | 223697 | BCBS PPO |
| Maryland | Other | G5120001 | BCBS PPO |
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