Birmingham, Tracy R

Birmingham, Tracy R is an sole proprietor health care provider with primary practice located at 211 Missouri , Helena AR 72342-3707. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Birmingham, Tracy R can be contacted via phone (870) 338-3363.

Contact Information

Primary practice address
211 Missouri Helena AR 72342-3707
Phone: (870) 338-3363
Fax: (870) 933-9395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1609052596
LBN Legal business name Birmingham, Tracy R
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Nov 16th, 2022 - about 2 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 1609052596 NPPES
Arkansas MEDICAID 173795795

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