Wages, Tracy

Wages, Tracy is an sole proprietor health care provider with primary practice located at 5 Trotter Ct , Lugoff SC 29078-8734. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wages, Tracy can be contacted via phone (803) 408-0701.

Contact Information

Primary practice address
5 Trotter Ct Lugoff SC 29078-8734
Fax: (803) 408-0701
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3641 South Carolina

Profile Details

NPI number 1932548187
LBN Legal business name Wages, Tracy
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 13 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 1932548187 NPPES
South Carolina MEDICAID SA0591

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