Tracy, Katherine Marie

Tracy, Katherine Marie is an sole proprietor health care provider with primary practice located at 419 Burch Farm Dr , Brockport NY 14420-9354. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tracy, Katherine Marie can be contacted via phone (585) 754-5265.

Contact Information

Primary practice address
419 Burch Farm Dr Brockport NY 14420-9354
Phone: (585) 754-5265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 293118-1 New York

Profile Details

NPI number 1982946695
LBN Legal business name Tracy, Katherine Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2013
Last updated Mar 20th, 2013 - about 11 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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