Johnson, Tracy L
Johnson, Tracy L is an sole proprietor health care provider with primary practice located at 709 Mulberry Dr W , West Bend WI 53090-2257. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Tracy L can be contacted via phone (262) 483-2637.Contact Information
Primary practice address
709 Mulberry Dr W
West Bend WI 53090-2257
Phone: (262) 483-2637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 161173-030 | Wisconsin |
Profile Details
| NPI number | 1194029520 |
|---|---|
| LBN Legal business name | Johnson, Tracy L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2010 |
| Last updated | Dec 28th, 2010 - about 14 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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