Bane, Tracy L
Bane, Tracy L is an sole proprietor health care provider with primary practice located at 3201 Shamrock St S Ste 103 , Tallahassee FL 32309-3349. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bane, Tracy L can be contacted via phone (850) 894-0061.Contact Information
Primary practice address
3201 Shamrock St S Ste 103
Tallahassee FL 32309-3349
Phone: (850) 894-0061
Fax: (850) 894-0062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6953 | Florida |
Profile Details
| NPI number | 1043268550 |
|---|---|
| LBN Legal business name | Bane, Tracy L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 24th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043268550 | NPPES |
| Florida | Other | Z057A | BLUE SHIELD NUMBER |
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