Mckiernan, Tracey Roman
Mckiernan, Tracey Roman is an sole proprietor health care provider with primary practice located at 3737 Lander Rd , Pepper Pike OH 44124-5712. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mckiernan, Tracey Roman can be contacted via phone (216) 831-2255.Contact Information
Primary practice address
3737 Lander Rd
Pepper Pike OH 44124-5712
Phone: (216) 831-2255
Fax: (216) 831-0638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801078204 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0700065 | Ohio |
Profile Details
| NPI number | 1023129350 |
|---|---|
| LBN Legal business name | Mckiernan, Tracey Roman |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 23rd, 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 | 1023129350 | NPPES |
| Michigan | Other | 6801078204 | STATE LICENSE |
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