Ekhardt, Tracy L
Ekhardt, Tracy L is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Ekhardt, Tracy L can be contacted via phone (515) 241-5926.Contact Information
Primary practice address
1200 Pleasant St
Des Moines IA 50309-1406
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 36820 | Iowa |
Profile Details
| NPI number | 1265500383 |
|---|---|
| LBN Legal business name | Ekhardt, Tracy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Sep 13th, 2016 - about 8 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 | 1265500383 | NPPES |
| Iowa | MEDICAID | 1265500383 | |
| Iowa | MEDICAID | 100264995-00 |
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