Bacik, Tracy Marie

Bacik, Tracy Marie is an individual health care provider with primary practice located at 408 Lake St , Roscommon MI 48653-7663. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bacik, Tracy Marie can be contacted via phone (989) 275-3668.

Contact Information

Primary practice address
408 Lake St Roscommon MI 48653-7663
Phone: (989) 275-3668
Fax: (989) 275-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002138 Michigan

Profile Details

NPI number 1023052081
LBN Legal business name Bacik, Tracy Marie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 6th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023052081 NPPES
Michigan MEDICAID 5198720
Michigan Other 4857210410

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