Haas, Tracey A.

Haas, Tracey A. is an individual health care provider with primary practice located at 2710 Harney St Ste 202 , Laramie WY 82072-2899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haas, Tracey A. can be contacted via phone (307) 766-3313.

Contact Information

Primary practice address
2710 Harney St Ste 202 Laramie WY 82072-2899
Phone: (307) 766-3313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0056096 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0100 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12820A Wyoming

Profile Details

NPI number 1346264561
LBN Legal business name Haas, Tracey A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 11th, 2024 - about 2 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 1346264561 NPPES
Texas MEDICAID 181979903
Texas Other 0056096
Texas MEDICAID 181979904
Texas Other M0100
Texas Other 12820A

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