Liptak, Tracy
Liptak, Tracy is an individual health care provider with primary practice located at 301 W Burlington , Fairfield IA 52556-3242. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Liptak, Tracy can be contacted via phone (641) 472-5771.Contact Information
Primary practice address
301 W Burlington
Fairfield IA 52556-3242
Phone: (641) 472-5771
Fax: (641) 472-1817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 06611 | Iowa |
Profile Details
| NPI number | 1013099985 |
|---|---|
| LBN Legal business name | Liptak, Tracy |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Oct 13th, 2022 - about 2 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 | 1013099985 | NPPES |
| Iowa | Other | 107314000 | IOWA PLAN |
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