White, Tracie L
White, Tracie L is an individual health care provider with primary practice located at 601 John St Ste 100, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. White, Tracie L can be contacted via phone (269) 373-1222.Contact Information
Primary practice address
601 John St Ste 100
Kalamazoo MI 49007-5341
Phone: (269) 373-1222
Fax: (269) 373-6270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4707176515 | Michigan |
Profile Details
| NPI number | 1912928698 |
|---|---|
| LBN Legal business name | White, Tracie L |
| Credentials | ANP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1912928698 | NPPES |
| Michigan | MEDICAID | 1912928698 | |
| Michigan | Other | 1003822412 |
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