Tracy, Sean Carroll
Tracy, Sean Carroll is an individual health care provider with primary practice located at 2500 N Mayfair Rd Suite 500, Wauwatosa WI 53226-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tracy, Sean Carroll can be contacted via phone (414) 257-2525.Contact Information
Primary practice address
2500 N Mayfair Rd Suite 500
Wauwatosa WI 53226-1409
Phone: (414) 257-2525
Fax: (414) 257-1772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 45930-020 | Wisconsin |
Profile Details
| NPI number | 1073600342 |
|---|---|
| LBN Legal business name | Tracy, Sean Carroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Sep 22nd, 2008 - about 16 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 | 1073600342 | NPPES |
| Wisconsin | MEDICAID | 34989800 |
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