Frazier, Tracy Marie
Frazier, Tracy Marie is an sole proprietor health care provider with primary practice located at 51145 Nicolette Dr , Chesterfield MI 48047-4585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Frazier, Tracy Marie can be contacted via phone (586) 228-9991.Contact Information
Primary practice address
51145 Nicolette Dr
Chesterfield MI 48047-4585
Phone: (586) 228-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1588176960 |
|---|---|
| LBN Legal business name | Frazier, Tracy Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2017 |
| Last updated | Dec 22nd, 2020 - about 6 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 | 1588176960 | NPPES |
| Michigan | MEDICAID | 1043554348 |
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