Tracy Ozanich in Bothell - Specialist

Tracy Ozanich - NPI 1154479632

Tracy Ozanich is a Specialist in Bothell, Washington. Tracy Ozanich practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tracy Ozanich is 1154479632. The last update date is 2007-07-08.

Tracy Ozanich's current location address is 1630 228th St Se Apt E202, Bothell, Washington. You can contact this provider via phone number 4256975188 and fax number 4256781928. The mailing address for Tracy Ozanich is 1630 228th St Se Apt E202, Bothell, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Ozanich
Address 1630 228th St Se Apt E202, Bothell, Washington
Phone Number 4256975188
Fax Number 4256781928
Sole Proprietor N
Credentials LMP

NPI Number Detail

NPI Number 1154479632
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1630 228th St Se Apt E202
City Bothell
State Washington (WA)
Post Code 980217436
Phone Number 4256975188
Fax Number 4256781928

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA00016350
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202662 WA LABOR & INDUSTRIES PIN#

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FAQs about Tracy Ozanich

What is the unique 10-digit identification code assigned to Tracy Ozanich by the Centers for Medicare & Medicaid Services?

The Tracy Ozanich has been issued the NPI (National Provider Identifier) 1154479632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Tracy Ozanich's physical address?

The Tracy Ozanich is physically located at 1630 228Th St Se Apt E202, in the city of Bothell, WA, with the postal code 980217436.

What is Tracy Ozanich's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy Ozanich is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154479632 to Tracy Ozanich?

The Centers for Medicare & Medicaid Services originally issued the 1154479632 to Tracy Ozanich on 2007-01-08.

When was the information related to Tracy Ozanich most recently updated or refreshed?

The details pertaining to the Tracy Ozanich, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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