Tracie, Renae
Tracie, Renae is an individual health care provider with primary practice located at 1309 S. 37Th St. , Muskogee OK 74401-7908. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tracie, Renae can be contacted via phone (918) 913-2434.Contact Information
Primary practice address
1309 S. 37Th St.
Muskogee OK 74401-7908
Phone: (918) 913-2434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 730947232 | Oklahoma |
Profile Details
| NPI number | 1598947046 |
|---|---|
| LBN Legal business name | Tracie, Renae |
| Credentials | MASTERS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Jul 27th, 2012 - about 14 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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