Wilkerson, Tracy Lee

Wilkerson, Tracy Lee is an individual health care provider with primary practice located at 101 S Park Ln , Altus OK 73521-5731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wilkerson, Tracy Lee can be contacted via phone (580) 379-6140.

Contact Information

Primary practice address
101 S Park Ln Altus OK 73521-5731
Phone: (580) 379-6140
Fax: (580) 379-6149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4707 Oklahoma

Profile Details

NPI number 1952517732
LBN Legal business name Wilkerson, Tracy Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Sep 12th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952517732 NPPES
Michigan Other 5101016863 STATE LICENSE
Michigan MEDICAID 200294320A STATE LICENSE
Michigan Other P01083969 STATE LICENSE
Michigan Other 4707 STATE LICENSE

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