Ammann, Tracy L
Ammann, Tracy L is an individual health care provider with primary practice located at 704 E Fremont Ave , Riverton WY 82501-4421. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ammann, Tracy L can be contacted via phone (307) 856-9000.Contact Information
Primary practice address
704 E Fremont Ave
Riverton WY 82501-4421
Phone: (307) 856-9000
Fax: (307) 856-9004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 261T | Wyoming |
Profile Details
| NPI number | 1962591263 |
|---|---|
| LBN Legal business name | Ammann, Tracy L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 7th, 2010 - about 16 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 | 1962591263 | NPPES |
| Wyoming | MEDICAID | 120883700 |
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