Tyson, Tracy

Tyson, Tracy is an individual health care provider with primary practice located at 11 Crest Rd , Saint Albans VT 05478-9701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tyson, Tracy can be contacted via phone (802) 527-8189.

Contact Information

Primary practice address
11 Crest Rd Saint Albans VT 05478-9701
Phone: (802) 527-8189
Fax: (802) 527-8187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X ME96031 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME96031 Florida

Profile Details

NPI number 1205865045
LBN Legal business name Tyson, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jun 30th, 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 1205865045 NPPES
Florida MEDICAID 275570000
Florida Other 57012
Florida MEDICAID 202194472A

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