Banghart, Tracy

Banghart, Tracy is an sole proprietor health care provider with primary practice located at 1331 State St Ste 340 , La Porte IN 46350-3112. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Banghart, Tracy can be contacted via phone (219) 324-0875.

Contact Information

Primary practice address
1331 State St Ste 340 La Porte IN 46350-3112
Phone: (219) 324-0875
Fax: (219) 324-0827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X 71011976A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71011976A Indiana

Profile Details

NPI number 1689332041
LBN Legal business name Banghart, Tracy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2021
Last updated Aug 29th, 2022 - about 2 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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