Christensen, Tracy
Christensen, Tracy is an individual health care provider with primary practice located at 8081 Wedgewood Ln N , Maple Grove MN 55369-9412. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Christensen, Tracy can be contacted via phone (763) 416-3795.Contact Information
Primary practice address
8081 Wedgewood Ln N
Maple Grove MN 55369-9412
Phone: (763) 416-3795
Fax: (763) 416-3769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2527 | Minnesota |
Profile Details
| NPI number | 1568523843 |
|---|---|
| LBN Legal business name | Christensen, Tracy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | May 24th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568523843 | NPPES |
| Minnesota | MEDICAID | 535916300 |
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