Ekhardt, Tracy L

Ekhardt, Tracy L is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Ekhardt, Tracy L can be contacted via phone (515) 241-5926.

Contact Information

Primary practice address
1200 Pleasant St Des Moines IA 50309-1406
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 36820 Iowa

Profile Details

NPI number 1265500383
LBN Legal business name Ekhardt, Tracy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 13th, 2016 - about 10 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 1265500383 NPPES
Iowa MEDICAID 1265500383
Iowa MEDICAID 100264995-00

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