Wallace, Tracy

Wallace, Tracy is an individual health care provider with primary practice located at 15400 W Mcnichols Rd , Detroit MI 48235-3724. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Wallace, Tracy can be contacted via phone (313) 732-8272.

Contact Information

Primary practice address
15400 W Mcnichols Rd Detroit MI 48235-3724
Phone: (313) 732-8272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 4704197701 Michigan

Profile Details

NPI number 1326481755
LBN Legal business name Wallace, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated Apr 16th, 2013 - about 12 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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