Tracy, Sherrill
Tracy, Sherrill is an individual health care provider with primary practice located at 2 Broadway Street , Gorham NH 03581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tracy, Sherrill can be contacted via phone (603) 466-2741.Contact Information
Primary practice address
2 Broadway Street
Gorham NH 03581
Phone: (603) 466-2741
Fax: (603) 466-2953
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6910 | New Hampshire |
Profile Details
NPI number | 1740282136 |
---|---|
LBN Legal business name | Tracy, Sherrill |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1740282136 | NPPES |
New Hampshire | Other | 6910 | STATE LICENSE # |
New Hampshire | MEDICAID | 81083242 | STATE LICENSE # |
New Hampshire | Other | P00120775 | STATE LICENSE # |
New Hampshire | Other | 5635115001 | STATE LICENSE # |
New Hampshire | Other | 0104864YPNH02 | STATE LICENSE # |
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