Bunnell, Tracy E

Bunnell, Tracy E is an individual health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bunnell, Tracy E can be contacted via phone (651) 439-8807.

Contact Information

Primary practice address
5803 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3974 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0616 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12367 Minnesota

Profile Details

NPI number 1134595978
LBN Legal business name Bunnell, Tracy E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2015
Last updated Nov 29th, 2017 - about 8 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 1134595978 NPPES
Minnesota MEDICAID 1134595978

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