Traylor, Tracy Evette

Traylor, Tracy Evette is an sole proprietor health care provider with primary practice located at 3788 Mayfield Rd , Cleveland Hts OH 44121-1756. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Traylor, Tracy Evette can be contacted via phone (216) 691-3752.

Contact Information

Primary practice address
3788 Mayfield Rd Cleveland Hts OH 44121-1756
Phone: (216) 691-3752
Fax: (216) 691-3752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN104042 Ohio

Profile Details

NPI number 1649488891
LBN Legal business name Traylor, Tracy Evette
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1649488891 NPPES
Ohio MEDICAID 2229761

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