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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1194997858 NPPES
Wisconsin MEDICAID 39889400

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