Blevins, Tracie Leah

Blevins, Tracie Leah is an individual health care provider with primary practice located at 175 N Groesbeck Hwy , Mount Clemens MI 48043-1562. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Blevins, Tracie Leah can be contacted via phone (616) 301-8000.

Contact Information

Primary practice address
175 N Groesbeck Hwy Mount Clemens MI 48043-1562
Phone: (616) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1063038248
LBN Legal business name Blevins, Tracie Leah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2020
Last updated Oct 4th, 2021 - 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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