Rauch, Traci A
Rauch, Traci A is an individual health care provider with primary practice located at 2620 W Faidley Ave , Grand Island NE 68803-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Rauch, Traci A can be contacted via phone (308) 390-1715.Contact Information
Primary practice address
2620 W Faidley Ave
Grand Island NE 68803-4205
Phone: (308) 390-1715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 21967 | Nebraska |
Profile Details
| NPI number | 1588639074 |
|---|---|
| LBN Legal business name | Rauch, Traci A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Oct 2nd, 2014 - about 12 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 | 1588639074 | NPPES |
| Nebraska | Other | D08559 | BLUE CROSS |
| Nebraska | Other | P00231270 | BLUE CROSS |
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