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:
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Health care specialties

SpecialtyCodeLicense #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 19 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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Identifiers

StateTypeNumberIssuer
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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