Newman, Tracie Tuggle

Newman, Tracie Tuggle is an individual health care provider with primary practice located at 2701 13Th Ave S , Fargo ND 58103-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Newman, Tracie Tuggle can be contacted via phone (701) 234-3620.

Contact Information

Primary practice address
2701 13Th Ave S Fargo ND 58103-3602
Phone: (701) 234-3620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53118 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54617-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12237 North Dakota

Profile Details

NPI number 1699967810
LBN Legal business name Newman, Tracie Tuggle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2007
Last updated Sep 21st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699967810 NPPES
Minnesota MEDICAID 1699967810
Minnesota MEDICAID 16848
Minnesota MEDICAID 1699967810

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