Tracy, Robin Catherine
Tracy, Robin Catherine is an individual health care provider with primary practice located at 1425 S Columbia Rd , Grand Forks ND 58201-4039. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Tracy, Robin Catherine can be contacted via phone (701) 746-8374.Contact Information
Primary practice address
1425 S Columbia Rd
Grand Forks ND 58201-4039
Phone: (701) 746-8374
Fax: (701) 780-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 137-94 | North Dakota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 972 | North Dakota |
Profile Details
| NPI number | 1205919198 |
|---|---|
| LBN Legal business name | Tracy, Robin Catherine |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 27th, 2023 - about 2 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 | 1205919198 | NPPES |
| North Dakota | Other | 1013166 | PREFERRED ONE GROUP # PT |
| North Dakota | MEDICAID | 54206 | PREFERRED ONE GROUP # PT |
| North Dakota | MEDICAID | 50668 | PREFERRED ONE GROUP # PT |
| North Dakota | Other | 7B137PA | PREFERRED ONE GROUP # PT |
| North Dakota | MEDICAID | 125177500 | PREFERRED ONE GROUP # PT |
| North Dakota | Other | 12670 | PREFERRED ONE GROUP # PT |
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