Rasmussen, Tracye Dawn

Rasmussen, Tracye Dawn is an individual health care provider with primary practice located at 120 N Broad Street , Mankato MN 56001. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rasmussen, Tracye Dawn can be contacted via phone (507) 345-5087.

Contact Information

Primary practice address
120 N Broad Street Mankato MN 56001
Fax: (507) 345-1151
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3014 Minnesota

Profile Details

NPI number 1982702247
LBN Legal business name Rasmussen, Tracye Dawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 23rd, 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 1982702247 NPPES
Minnesota MEDICAID 004146700

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