Hogan, Tracy L
Hogan, Tracy L is an sole proprietor health care provider with primary practice located at 9212 Stone School Rd , Omro WI 54963-9766. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Hogan, Tracy L can be contacted via phone (920) 685-2193.Contact Information
Primary practice address
9212 Stone School Rd
Omro WI 54963-9766
Phone: (920) 685-2193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | Wisconsin |
Profile Details
| NPI number | 1194997858 |
|---|---|
| LBN Legal business name | Hogan, Tracy L |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 1st, 2008 - about 17 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 | 1194997858 | NPPES |
| Wisconsin | MEDICAID | 39889400 |
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