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NPI Code Detail

MEDICARE: DR. TRACEY O'NEAL HOOKER D.O.

MEDICARE: DR. TRACEY O'NEAL HOOKER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34006990OH
2207Q00000XFamily Medicine Physician72733WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000522471OTHEROHANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4810547599075OTHEROHCARESOURCE

General Provider Information

NPI Number : 1730141029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACEY O'NEAL HOOKER D.O.
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-380-4999
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E CAPITOL DR
Second Line :
City : APPLETON
State : WI
Zip : 54911-8735
Country : US
Telephone Number : 920-380-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 11/10/2023

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