Korenstra Tracey, Laura

Korenstra Tracey, Laura is an individual health care provider with primary practice located at 125 N Lake St , Manistique MI 49854-1234. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Korenstra Tracey, Laura can be contacted via phone (906) 341-5214.

Contact Information

Primary practice address
125 N Lake St Manistique MI 49854-1234
Phone: (906) 341-5214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1023273596
LBN Legal business name Korenstra Tracey, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 24th, 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.

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