Longtine, Tracy J
Longtine, Tracy J is an individual health care provider with primary practice located at 1531 S Madison St , Appleton WI 54915-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Longtine, Tracy J can be contacted via phone (920) 730-4411.Contact Information
Primary practice address
1531 S Madison St
Appleton WI 54915-1800
Phone: (920) 730-4411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3279125 | Wisconsin |
Profile Details
| NPI number | 1770570434 |
|---|---|
| LBN Legal business name | Longtine, Tracy J |
| Credentials | LICENSED PROFESSIONA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770570434 | NPPES |
| Wisconsin | MEDICAID | 40973400 |
Popular Providers
-
Radtke, Scott W.
444 N Westhill Blvd , Appleton WI 54914-5715 -
Jensen, Katherine C
2400 S Kensington Dr Ste 400 , Appleton WI 54915-4187 -
Olkowski, Jennifer Helene
3301 N Ballard Rd Suite C, Appleton WI 54911-8988 -
Morrissey, Amy M.
444 N Westhill Blvd , Appleton WI 54914-5715 -
Laird, Rebecca Sue
2800 E Enterprise Avenue Suite 18, Appleton WI 54913-7889 -
Decker, Julie L
444 N Westhill Blvd , Appleton WI 54914-5715 -
Mittelsteadt, Sandra Lee
W6144 Aerotech Dr , Appleton WI 54914-7503 -
Schotten, Steve S
410 S Walnut St , Appleton WI 54911-5920