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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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

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