Hansen, Tracy M
Hansen, Tracy M is an individual health care provider with primary practice located at 5147 44Th St. S. , Fargo ND 58104-6069. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hansen, Tracy M can be contacted via phone (701) 239-2567.Contact Information
Primary practice address
5147 44Th St. S.
Fargo ND 58104-6069
Phone: (701) 239-2567
Fax: (701) 540-0587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 84261515298 | North Dakota |
Profile Details
| NPI number | 1861938128 |
|---|---|
| LBN Legal business name | Hansen, Tracy M |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2017 |
| Last updated | Sep 6th, 2023 - about 3 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 | 1861938128 | NPPES |
| North Dakota | MEDICAID | 1470012 | |
| North Dakota | MEDICAID | 1475235 |
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