Eilerman, Tracie Lynn
Eilerman, Tracie Lynn is an individual health care provider with primary practice located at 163 E Bethalto Dr , Bethalto IL 62010-1801. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eilerman, Tracie Lynn can be contacted via phone (618) 463-7800.Contact Information
Primary practice address
163 E Bethalto Dr
Bethalto IL 62010-1801
Phone: (618) 463-7800
Fax: (618) 467-0073
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 2002007983 | Missouri |
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 041360734 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2018012811 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209017718 | Illinois |
Profile Details
NPI number | 1619456472 |
---|---|
LBN Legal business name | Eilerman, Tracie Lynn |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2018 |
Last updated | Mar 12th, 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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