Martin, Tracy L
Martin, Tracy L is an individual health care provider with primary practice located at 108 Ensminger Dr Ste A , Glasgow KY 42141-1157. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Tracy L can be contacted via phone (270) 659-0035.Contact Information
Primary practice address
108 Ensminger Dr Ste A
Glasgow KY 42141-1157
Phone: (270) 659-0035
Fax: (270) 629-4880
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 254543 | Kentucky |
Profile Details
NPI number | 1851937908 |
---|---|
LBN Legal business name | Martin, Tracy L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2019 |
Last updated | Sep 29th, 2021 - about 3 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 | 1851937908 | NPPES |
Kentucky | MEDICAID | 1851937908 |
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