Roettiger, Tracy A

Roettiger, Tracy A is an individual health care provider with primary practice located at 338 Main St , Keene NH 03431. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Roettiger, Tracy A can be contacted via phone (603) 357-4090.

Contact Information

Primary practice address
338 Main St Keene NH 03431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0777 New Hampshire

Profile Details

NPI number 1285606954
LBN Legal business name Roettiger, Tracy A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 9th, 2016 - about 8 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 1285606954 NPPES
New Hampshire Other 020382284 CIGNA
New Hampshire MEDICAID 30353754 CIGNA
New Hampshire Other 150461 CIGNA
New Hampshire Other 09Y008549NH01 CIGNA
New Hampshire Other NH0777 CIGNA

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