Tracy, James M
Tracy, James M is an sole proprietor health care provider with primary practice located at 2808 S 80 Ave Ste 210, Omaha NE 68124-3253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Tracy, James M can be contacted via phone (402) 391-1800.Contact Information
Primary practice address
2808 S 80 Ave Ste 210
Omaha NE 68124-3253
Phone: (402) 391-1800
Fax: (402) 391-1563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 154 | Nebraska |
Profile Details
NPI number | 1801888300 |
---|---|
LBN Legal business name | Tracy, James M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2005 |
Last updated | Jun 30th, 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 | 1801888300 | NPPES |
Nebraska | MEDICAID | 47060801501 | |
Nebraska | MEDICAID | 47060801514 |
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