Ahlert, Tracy Roxanne

Ahlert, Tracy Roxanne is an individual health care provider with primary practice located at 14 W Cherry St , Alma AR 72921-3905. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ahlert, Tracy Roxanne can be contacted via phone (479) 632-0258.

Contact Information

Primary practice address
14 W Cherry St Alma AR 72921-3905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1389 Arkansas

Profile Details

NPI number 1235421512
LBN Legal business name Ahlert, Tracy Roxanne
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated May 5th, 2011 - about 14 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 1235421512 NPPES
Arkansas MEDICAID 186282721

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