Bigelow, Tracy Lee

Bigelow, Tracy Lee is an individual health care provider with primary practice located at 2545 W Hammer Ln , Stockton CA 95209-2839. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Bigelow, Tracy Lee can be contacted via phone (209) 957-7050.

Contact Information

Primary practice address
2545 W Hammer Ln Stockton CA 95209-2839
Phone: (209) 957-7050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 20A 11567 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A11567 California

Profile Details

NPI number 1578662342
LBN Legal business name Bigelow, Tracy Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 15th, 2015 - about 10 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 1578662342 NPPES
Ohio Other 34008758 OHIO MEDICAL LICENSE
Ohio Other 20A 11567 OHIO MEDICAL LICENSE
Ohio MEDICAID 2671158 OHIO MEDICAL LICENSE

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