Eells, Tracy Dwight
Eells, Tracy Dwight is an individual health care provider with primary practice located at 401 E Chestnut St Unit 610 , Louisville KY 40202-5711. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Eells, Tracy Dwight can be contacted via phone (502) 588-4450.Contact Information
Primary practice address
401 E Chestnut St Unit 610
Louisville KY 40202-5711
Phone: (502) 588-4450
Fax: (502) 588-9539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | KY00839 | Kentucky |
Profile Details
| NPI number | 1942272174 |
|---|---|
| LBN Legal business name | Eells, Tracy Dwight |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jan 14th, 2019 - about 6 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 | 1942272174 | NPPES |
| Kentucky | Other | 402278 | TRICARE |
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