Crews, Tracey Leigh
Crews, Tracey Leigh is an individual health care provider with primary practice located at 4422 East State Boulevard , Fort Wayne IN 46815-6917. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Crews, Tracey Leigh can be contacted via phone (885) 324-0885.Contact Information
Primary practice address
4422 East State Boulevard
Fort Wayne IN 46815-6917
Phone: (885) 324-0885
Fax: (765) 450-6664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 014885 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5201005313 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 31006496A | Indiana |
Profile Details
| NPI number | 1508311705 |
|---|---|
| LBN Legal business name | Crews, Tracey Leigh |
| Credentials | MS, OTR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Dec 26th, 2017 - about 7 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 | 1508311705 | NPPES |
| Other | 1015036 | NBCOT CERTIFICATION |
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