Blanchard, Tracey

Blanchard, Tracey is an individual health care provider with primary practice located at 5911 Northwest Hwy Ste 207 , Crystal Lake IL 60014-8043. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Blanchard, Tracey can be contacted via phone (815) 526-3781.

Contact Information

Primary practice address
5911 Northwest Hwy Ste 207 Crystal Lake IL 60014-8043
Phone: (815) 526-3781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043118421 Illinois

Profile Details

NPI number 1306336144
LBN Legal business name Blanchard, Tracey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated May 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306336144 NPPES
Illinois Other 043118421 LICENSED PRACTICAL NURSE

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