Irene, Tracey A

Irene, Tracey A is an individual health care provider with primary practice located at 1111 Delafield St Suite 102, Waukesha WI 53188-3417. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Irene, Tracey A can be contacted via phone (262) 549-5150.

Contact Information

Primary practice address
1111 Delafield St Suite 102 Waukesha WI 53188-3417
Phone: (262) 549-5150
Fax: (262) 549-1337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 303-156 Wisconsin

Profile Details

NPI number 1699813097
LBN Legal business name Irene, Tracey A
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Apr 4th, 2008 - about 18 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 1699813097 NPPES
Wisconsin MEDICAID 41135900

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