Larue, Tracie
Larue, Tracie is an individual health care provider with primary practice located at 265 Ellington Rd , East Hartford CT 06108-1176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larue, Tracie can be contacted via phone (860) 569-8800.Contact Information
Primary practice address
265 Ellington Rd
East Hartford CT 06108-1176
Phone: (860) 569-8800
Fax: (860) 291-2788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | E57063 | Connecticut |
Profile Details
| NPI number | 1477695849 |
|---|---|
| LBN Legal business name | Larue, Tracie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Oct 27th, 2011 - about 13 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 | 1477695849 | NPPES |
| Other | 1477695849 | NPI |
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