Hall, Traci Donielle

Hall, Traci Donielle is an sole proprietor health care provider with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hall, Traci Donielle can be contacted via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149022581 Illinois

Profile Details

NPI number 1528431137
LBN Legal business name Hall, Traci Donielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2015
Last updated Mar 7th, 2024 - about last year

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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