Wise, Tracey Jane
Wise, Tracey Jane is an individual health care provider with primary practice located at 702 E King Rd , Tomahawk WI 54487. 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. Wise, Tracey Jane can be contacted via phone (715) 282-7566.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 503-154 | Wisconsin |
Profile Details
| NPI number | 1912170564 |
|---|---|
| LBN Legal business name | Wise, Tracey Jane |
| Credentials | MS CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Apr 3rd, 2008 - about 18 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 | 1912170564 | NPPES |
| Wisconsin | MEDICAID | 426259000 |
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