Truchelut, Tracy A
Truchelut, Tracy A is an individual health care provider with primary practice located at 1925 Mizell Ave Suite 302, Winter Park FL 32792-4106. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Truchelut, Tracy A can be contacted via phone (407) 629-6646.Contact Information
Primary practice address
1925 Mizell Ave Suite 302
Winter Park FL 32792-4106
Phone: (407) 629-6646
Fax: (407) 740-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME47684 | Florida |
Profile Details
| NPI number | 1558350090 |
|---|---|
| LBN Legal business name | Truchelut, Tracy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 17th, 2012 - about 13 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 | 1558350090 | NPPES |
| Florida | Other | 47799 | BCBS INDIVIDUAL ID # |
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