Petersen, Tracy Lynn

Petersen, Tracy Lynn is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Petersen, Tracy Lynn can be contacted via phone (309) 779-3000.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Phone: (309) 779-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1639785454
LBN Legal business name Petersen, Tracy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Oct 20th, 2020 - about 5 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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