Tracy J Longtine in Appleton - Professional

Tracy J Longtine - NPI 1770570434

Tracy J Longtine is a Professional in Appleton, Wisconsin. Tracy J Longtine practices all healthcare services and medical treatments related to Professional. The NPI Number for Tracy J Longtine is 1770570434. The last update date is 2007-07-08.

Tracy J Longtine's current location address is 1531 S Madison St, Appleton, Wisconsin. You can contact this provider via phone number 9207304411. The mailing address for Tracy J Longtine is 1531 S Madison St, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy J Longtine
Address 1531 S Madison St, Appleton, Wisconsin
Phone Number 9207304411
Fax Number
Sole Proprietor N
Credentials LICENSED P

NPI Number Detail

NPI Number 1770570434
Provider Enumeration Date 2005-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1531 S Madison St
City Appleton
State Wisconsin (WI)
Post Code 549151800
Phone Number 9207304411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 3279125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40973400 WI --

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FAQs about Tracy J Longtine

What is the unique provider identifier assigned to Tracy J Longtine?

The Tracy J Longtine has been issued the NPI (National Provider Identifier) 1770570434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tracy J Longtine is geographically located?

The Tracy J Longtine is physically situated at the following location: 1531 S Madison St, Appleton, WI, 549151800.

What is Tracy J Longtine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy J Longtine is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date was the 1770570434 assigned to Tracy J Longtine?

The Tracy J Longtine was issued its 1770570434 on 2005-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Tracy J Longtine's information last updated?

The Tracy J Longtine's information was last updated on 2007-07-08.

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