Larson, Tracy
Larson, Tracy is an individual health care provider with primary practice located at 1919 N Amidon Ave Ste. 100, Wichita KS 67203-2117. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Larson, Tracy can be contacted via phone (316) 660-7540.Contact Information
Primary practice address
1919 N Amidon Ave Ste. 100
Wichita KS 67203-2117
Phone: (316) 660-7540
Fax: (316) 660-7588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5726 | Kansas |
Profile Details
| NPI number | 1447203278 |
|---|---|
| LBN Legal business name | Larson, Tracy |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447203278 | NPPES |
| Kansas | Other | 8680 | PREFERRED HEALTH SYSTEMS |
| Kansas | Other | 200919 | PREFERRED HEALTH SYSTEMS |
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