Kottenbrook, Tracy Lee

Kottenbrook, Tracy Lee is an sole proprietor health care provider with primary practice located at 9350 Westfall Rd , Frankfort OH 45628-0327. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Kottenbrook, Tracy Lee can be contacted via phone (740) 998-6738.

Contact Information

Primary practice address
9350 Westfall Rd Frankfort OH 45628-0327
Phone: (740) 998-6738
Fax: (740) 998-6738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 096321 Ohio

Profile Details

NPI number 1689697054
LBN Legal business name Kottenbrook, Tracy Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689697054 NPPES
Ohio MEDICAID 2129771

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