Achenbach, Tracey L

Achenbach, Tracey L is an individual health care provider with primary practice located at 721 Madison St Se , Huntsville AL 35801-4408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Achenbach, Tracey L can be contacted via phone (256) 880-6711.

Contact Information

Primary practice address
721 Madison St Se Huntsville AL 35801-4408
Phone: (256) 880-6711
Fax: (256) 880-6712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-105829 Alabama

Profile Details

NPI number 1063461713
LBN Legal business name Achenbach, Tracey L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 11th, 2020 - about 4 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 1063461713 NPPES
Alabama Other 51531739 BLUE SHIELD
Alabama Other 51002179 BLUE SHIELD
Alabama MEDICAID 051556509 BLUE SHIELD
Alabama MEDICAID 051531739 BLUE SHIELD

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