Paeschke, Tracy Ann

Paeschke, Tracy Ann is an sole proprietor health care provider with primary practice located at 1633 Medical Center Point , Colorado Springs CO 80907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Paeschke, Tracy Ann can be contacted via phone (719) 203-2603.

Contact Information

Primary practice address
1633 Medical Center Point Colorado Springs CO 80907
Fax: (279) 201-6476
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X CDHR.0041162 Colorado

Profile Details

NPI number 1114003399
LBN Legal business name Paeschke, Tracy Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated May 15th, 2023 - about 2 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 1114003399 NPPES
Colorado MEDICAID 11827238

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