Keaton, Tracey

Keaton, Tracey is an individual health care provider with primary practice located at 6927 Old Seward Hwy Ste 100 , Anchorage AK 99518-2283. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Keaton, Tracey can be contacted via phone (907) 345-0050.

Contact Information

Primary practice address
6927 Old Seward Hwy Ste 100 Anchorage AK 99518-2283
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 54 Alaska

Profile Details

NPI number 1013094788
LBN Legal business name Keaton, Tracey
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013094788 NPPES
Alaska MEDICAID 1031184
Alaska MEDICAID SP4293

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