Lindenau, Traci Alice

Lindenau, Traci Alice is an individual health care provider with primary practice located at 3845 W 4700 S , Taylorsville UT 84129-3454. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lindenau, Traci Alice can be contacted via phone (801) 840-2000.

Contact Information

Primary practice address
3845 W 4700 S Taylorsville UT 84129-3454
Phone: (801) 840-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6482385-8906 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05225 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6482385-1206 Utah

Profile Details

NPI number 1528193802
LBN Legal business name Lindenau, Traci Alice
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Mar 17th, 2018 - about 8 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 1528193802 NPPES
Texas MEDICAID 212094102
Texas MEDICAID 212094101

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