Johnson, Tracy
Johnson, Tracy is an sole proprietor health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Tracy can be contacted via phone (256) 734-4688.Contact Information
Primary practice address
1909 Commerce Ave
Cullman AL 35055-6151
Phone: (256) 734-4688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 1-116789 | Alabama |
Profile Details
| NPI number | 1336681949 |
|---|---|
| LBN Legal business name | Johnson, Tracy |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2016 |
| Last updated | Nov 14th, 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 | 1336681949 | NPPES |
| Alabama | MEDICAID | 330000025 |
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