Stretch, Tracey Lue
Stretch, Tracey Lue is an sole proprietor health care provider with primary practice located at 1700 Highway 36 W #410, Roseville MN 55113-4034. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Stretch, Tracey Lue can be contacted via phone (651) 746-0400.Contact Information
Primary practice address
1700 Highway 36 W #410
Roseville MN 55113-4034
Phone: (651) 746-0400
Fax: (651) 746-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 2056 | Minnesota |
Profile Details
| NPI number | 1346459708 |
|---|---|
| LBN Legal business name | Stretch, Tracey Lue |
| Credentials | BC-HIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1346459708 | NPPES |
| Minnesota | Other | 97D84BE | BCBS PROVIDER NUMBER |
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