Kubitschek, Tracey

Kubitschek, Tracey is an sole proprietor health care provider with primary practice located at 520 N Main St , Belen NM 87002-3720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kubitschek, Tracey can be contacted via phone (505) 966-1506.

Contact Information

Primary practice address
520 N Main St Belen NM 87002-3720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-07285 New Mexico

Profile Details

NPI number 1679648000
LBN Legal business name Kubitschek, Tracey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679648000 NPPES
New Mexico Other 83872884 LICENSE

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