Blanton, Tracy Elizabeth
Blanton, Tracy Elizabeth is an sole proprietor health care provider with primary practice located at 1007 Lincolnway , La Porte IN 46350-3201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blanton, Tracy Elizabeth can be contacted via phone (219) 325-5474.Contact Information
Primary practice address
1007 Lincolnway
La Porte IN 46350-3201
Phone: (219) 325-5474
Fax: (219) 325-5456
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 28118993A | Indiana |
Profile Details
NPI number | 1508290289 |
---|---|
LBN Legal business name | Blanton, Tracy Elizabeth |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 29th, 2013 |
Last updated | Aug 29th, 2013 - about 11 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 | 1508290289 | NPPES |
Indiana | MEDICAID | PENDING |
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