Lee-Mongeau, Tracy

Lee-Mongeau, Tracy is an individual health care provider with primary practice located at 601 W George St , Carmichaels PA 15320-1325. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Lee-Mongeau, Tracy can be contacted via phone (724) 966-5081.

Contact Information

Primary practice address
601 W George St Carmichaels PA 15320-1325
Phone: (724) 966-5081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1568635001
LBN Legal business name Lee-Mongeau, Tracy
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
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 1568635001 NPPES
Pennsylvania MEDICAID 1007288440093
Pennsylvania Other 328834A764918

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