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Contact Information

TRACY R PROTELL, MD
155 HWY 50
STATELINE, NV89449
 Phone: 775-589-8946
 Fax: 775-588-1354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TRACY R PROTELL · (Female)

NPI Number 1629275235
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2007
Last updated 07/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A122555
  • NV License # 14443
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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