Traugott, Timothy Lee
Traugott, Timothy Lee is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Traugott, Timothy Lee can be contacted via phone (586) 263-2300.Contact Information
Primary practice address
15855 19 Mile Rd
Clinton Township MI 48038-3504
Phone: (586) 263-2300
Fax: (313) 876-1305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 683774 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP116679 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9826 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | L154631 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP11174 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704351488 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 683774 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704351488 | Michigan |
Profile Details
| NPI number | 1881858694 |
|---|---|
| LBN Legal business name | Traugott, Timothy Lee |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2008 |
| Last updated | Jan 16th, 2023 - about last year |
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 | 1881858694 | NPPES |
| Texas | Other | 1881858694 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P01254148 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 282228003 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 100096797 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 282228002 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P00982598 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 845N38 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 282228004 | BLUE CROSS BLUE SHIELD |
| Texas | Other | P01094717 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Shamass, Jonathan T
15855 19 Mile Rd , Clinton Township MI 48038-3504 -
Patterson, Jason W
15855 19 Mile Rd , Clinton Township MI 48038-3504 -
Christie, Mary Beth
15855 19 Mile Rd , Clinton Township MI 48038-3504 -
Brogdon, Michelle Carol
16151 19 Mile Rd Ste 120 , Clinton Township MI 48038-1157 -
Grieve, Steveny
15855 19 Mile Rd , Clinton Township MI 48038-3504 -
Shaeena, Angela
43361 Commons Dr , Clinton Township MI 48038-1109 -
Woodall, Ronald Jay
38770 Garfield Rd , Clinton Township MI 48038-6620 -
Calderon, Tiffany-Janelle
15855 19 Mile Rd , Clinton Township MI 48038-3504