Demmon, Tracey Jean

Demmon, Tracey Jean is an individual health care provider with primary practice located at 1321 King St Ste 2 , Bellingham WA 98229-6237. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Demmon, Tracey Jean can be contacted via phone (360) 738-3958.

Contact Information

Primary practice address
1321 King St Ste 2 Bellingham WA 98229-6237
Fax: (360) 738-4287
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1861536070
LBN Legal business name Demmon, Tracey Jean
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jan 28th, 2021 - about 3 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 1861536070 NPPES
Washington MEDICAID 9295205

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