Haakenson, Tracy Lynn
Haakenson, Tracy Lynn is an individual health care provider with primary practice located at 981 High House Rd Ste 100 , Cary NC 27513-3510. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Haakenson, Tracy Lynn can be contacted via phone (919) 388-0111.Contact Information
Primary practice address
981 High House Rd Ste 100
Cary NC 27513-3510
Phone: (919) 388-0111
Fax: (919) 388-8668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 160 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 15602 | North Carolina |
Profile Details
| NPI number | 1124181912 |
|---|---|
| LBN Legal business name | Haakenson, Tracy Lynn |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Dec 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124181912 | NPPES |
| Arizona | MEDICAID | 170647 |
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