National Provider Identifier Database

AMANDA TRACEY, M.T. – NPI #1902121585
Laboratory Management


Contact Information

AMANDA TRACEY, M.T.
HIGHWAY 264, MILEPOST 388
LABORATORY
POLACCA, AZ86042
Phone: 928-737-6220
Fax: 928-737-6047
Website:
Specialty Taxonomy Code
* Laboratory Management 246QL0900X

* Indicates primary specialty

NPI Profile & details for AMANDA TRACEY

NPI Number 1902121585
Credentials M.T.
Entity Individual
Enumeration date 04/07/2010
Last updated 04/07/2010 - About 16 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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