Tracie L Bolden in Beavercreek - Family Medicine
Tracie L Bolden - NPI 1467656413
Tracie L Bolden is a Family Medicine in Beavercreek, Ohio. Tracie L Bolden practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracie L Bolden is 1467656413. The last update date is 2016-04-20.
Tracie L Bolden's current location address is 2510 Commons Blvd, Beavercreek, Ohio. You can contact this provider via phone number 9374260049 and fax number 9374318140. The mailing address for Tracie L Bolden is 2510 Commons Blvd, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie L Bolden |
|---|---|
| Address | 2510 Commons Blvd, Beavercreek, Ohio |
| Phone Number | 9374260049 |
| Fax Number | 9374318140 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467656413 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2016-04-20 |
Provider Mailing Address Detail
| Address | 2510 Commons Blvd |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454313820 |
| Phone Number | 9374260049 |
| Fax Number | 9374318140 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35.093263 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2943640 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Tracie L Bolden by the Centers for Medicare & Medicaid Services?
The Tracie L Bolden has been issued the NPI (National Provider Identifier) 1467656413. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tracie L Bolden?
The Tracie L Bolden is physically situated at 2510 Commons Blvd, in the city of Beavercreek, state of OH, with the postal code 454313820.
What is Tracie L Bolden's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracie L Bolden is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did Tracie L Bolden receive its 1467656413 assignment from the Centers for Medicare & Medicaid Services?
The Tracie L Bolden was assigned its 1467656413 on 2007-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracie L Bolden most recently updated?
The details pertaining to the Tracie L Bolden, including its address, specialty, and other relevant information, were last refreshed on 2016-04-20.