Rogers, Tracie Nichelle

Rogers, Tracie Nichelle is an sole proprietor health care provider with primary practice located at 652 Chuck Wagon Dr , Galloway OH 43119-8319. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is her primary health care specialty. Rogers, Tracie Nichelle can be contacted via phone (614) 378-1522.

Contact Information

Primary practice address
652 Chuck Wagon Dr Galloway OH 43119-8319
Phone: (614) 378-1522
Fax: (614) 378-1522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Providers / Home Health 163WH0200X RN364564 Ohio

Profile Details

NPI number 1255391892
LBN Legal business name Rogers, Tracie Nichelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255391892 NPPES
Ohio MEDICAID 3128243

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