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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1801888300 NPPES
Nebraska MEDICAID 47060801501
Nebraska MEDICAID 47060801514

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