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
Fax: (603) 466-2953
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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