West, Tracy J
West, Tracy J is an individual health care provider with primary practice located at 649 S 30Th Cir , Mesa AZ 85204-3119. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. West, Tracy J can be contacted via phone (480) 227-5514.Contact Information
Primary practice address
649 S 30Th Cir
Mesa AZ 85204-3119
Phone: (480) 227-5514
Fax: (480) 502-2430
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4236 | Arizona |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4236 | Arizona |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4236 | Arizona |
Profile Details
NPI number | 1790762185 |
---|---|
LBN Legal business name | West, Tracy J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2005 |
Last updated | Nov 20th, 2009 - about 15 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 | 1790762185 | NPPES |
Arizona | Other | 118140 | PTAN |
Arizona | Other | 118139 | PTAN |
Arizona | Other | 1245423524 | PTAN |
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