Eagle, Tracy Lee

Eagle, Tracy Lee is an individual health care provider with primary practice located at 4151 Shrestha Drive Ste D, Saginaw MI 48603-2190. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Eagle, Tracy Lee can be contacted via phone (989) 220-3060.

Contact Information

Primary practice address
4151 Shrestha Drive Ste D Saginaw MI 48603-2190
Phone: (989) 220-3060
Fax: (989) 790-5027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1689922585
LBN Legal business name Eagle, Tracy Lee
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated May 30th, 2024 - about 7 months 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 1689922585 NPPES
Michigan Other ON80300 MEDICARE

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