Haertling, Tracy Ann
Haertling, Tracy Ann is an individual health care provider with primary practice located at 615 N Michigan St 6 East, South Bend IN 46601-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Haertling, Tracy Ann can be contacted via phone (574) 647-6892.Contact Information
Primary practice address
615 N Michigan St 6 East
South Bend IN 46601-1033
Phone: (574) 647-6892
Fax: (574) 647-6895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 036123303 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 02004056A | Indiana |
Profile Details
| NPI number | 1821288333 |
|---|---|
| LBN Legal business name | Haertling, Tracy Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Mar 16th, 2016 - about 9 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 | 1821288333 | NPPES |
| Indiana | Other | 000000781399 | BCBS MEMORIAL CHILDRENS HOSPITAL |
| Indiana | MEDICAID | 201085280 | BCBS MEMORIAL CHILDRENS HOSPITAL |
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