Hackmann Bates, Traci Lee

Hackmann Bates, Traci Lee is an individual health care provider with primary practice located at 3920 Sibley Memorial Hwy , Eagan MN 55122-1414. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hackmann Bates, Traci Lee can be contacted via phone (651) 681-0616.

Contact Information

Primary practice address
3920 Sibley Memorial Hwy Eagan MN 55122-1414
Phone: (651) 681-0616
Fax: (651) 681-0747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3650 Minnesota

Profile Details

NPI number 1750491296
LBN Legal business name Hackmann Bates, Traci Lee
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750491296 NPPES
Minnesota Other 454T7HA BLUE CROSS BLUE SHIELD
Minnesota Other 123175 BLUE CROSS BLUE SHIELD
Minnesota Other 62-64083 BLUE CROSS BLUE SHIELD
Minnesota Other HP24216 BLUE CROSS BLUE SHIELD

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