Fuchs, Tracy Lane
Fuchs, Tracy Lane is an sole proprietor health care provider with primary practice located at 145 S 200 E , Lindon UT 84042-2047. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Fuchs, Tracy Lane can be contacted via phone (801) 784-9455.Contact Information
Primary practice address
145 S 200 E
Lindon UT 84042-2047
Phone: (801) 784-9455
Fax: (888) 876-2112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3083074-6008 | Utah |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3083074-6004 | Utah |
Profile Details
| NPI number | 1114433364 |
|---|---|
| LBN Legal business name | Fuchs, Tracy Lane |
| Credentials | CMHC, ASUDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2017 |
| Last updated | Dec 26th, 2017 - about 9 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 | 1114433364 | NPPES |
| Utah | Other | 3083074-6004 | DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
| Utah | Other | 3083074-6008 | DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
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