Tracey Lue Stretch in Roseville - Hearing Instrument Specialist

Tracey Lue Stretch - NPI 1346459708

Tracey Lue Stretch is a Hearing Instrument Specialist in Roseville, Minnesota. Tracey Lue Stretch practices all healthcare services and medical treatments related to Hearing Instrument Specialist. The NPI Number for Tracey Lue Stretch is 1346459708. The last update date is 2007-07-08.

Tracey Lue Stretch's current location address is 1700 Highway 36 W, Roseville, Minnesota. You can contact this provider via phone number 6517460400 and fax number 6517460404. The mailing address for Tracey Lue Stretch is 1700 Highway 36 W, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey Lue Stretch
Address 1700 Highway 36 W, Roseville, Minnesota
Phone Number 6517460400
Fax Number 6517460404
Sole Proprietor Y
Credentials BC-HIS

NPI Number Detail

NPI Number 1346459708
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1700 Highway 36 W
City Roseville
State Minnesota (MN)
Post Code 551134034
Phone Number 6517460400
Fax Number 6517460404

Provider's Primary Taxonomy Detail

Speciality Hearing Instrument Specialist
Taxonomy 237700000X
Licence No 2056
Definition:
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
97D84BE MN BCBS PROVIDER NUMBER

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FAQs about Tracey Lue Stretch

What is the Tracey Lue Stretch's 1346459708?

The Tracey Lue Stretch's NPI (National Provider Identifier) Number is 1346459708. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Tracey Lue Stretch's physical address?

The Tracey Lue Stretch is physically located at 1700 Highway 36 W, in the city of Roseville, MN, with the postal code 551134034.

What is Tracey Lue Stretch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracey Lue Stretch is Hearing Instrument Specialist, and the taxonomy code that classifies this field of practice is 237700000X.

On what date did Tracey Lue Stretch receive its 1346459708 assignment from the Centers for Medicare & Medicaid Services?

The Tracey Lue Stretch was assigned its 1346459708 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Tracey Lue Stretch most recently updated or revised?

The information pertaining to Tracey Lue Stretch, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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