Johannsen, Tracy A.
Johannsen, Tracy A. is an individual health care provider with primary practice located at 1101 Madison St #1150, Seattle WA 98104-1306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johannsen, Tracy A. can be contacted via phone (206) 386-3400.Contact Information
Primary practice address
1101 Madison St #1150
Seattle WA 98104-1306
Phone: (206) 386-3400
Fax: (206) 386-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00021154 | Washington |
Profile Details
| NPI number | 1528054103 |
|---|---|
| LBN Legal business name | Johannsen, Tracy A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 23rd, 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 | 1528054103 | NPPES |
| Washington | MEDICAID | 1012496 |
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