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Contact Information

TRACY BANGHART, NP
1331 STATE ST STE 340
LA PORTE, IN46350-3112
 Phone: 219-324-0875
 Fax: 219-324-0827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for TRACY BANGHART · (Female)

NPI # 1689332041
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/02/2021
Last updated 08/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 71011976A
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL - (Acute Care)
    1007 LINCOLNWAY
    LA PORTE, IN 46350
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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