Chuck, Tracy Lynn
Chuck, Tracy Lynn is an individual health care provider with primary practice located at 73600 Alessandro Dr , Palm Desert CA 92260-3606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Chuck, Tracy Lynn can be contacted via phone (760) 674-0675.Contact Information
Primary practice address
73600 Alessandro Dr
Palm Desert CA 92260-3606
Phone: (760) 674-0675
Fax: (760) 674-0645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT26794 | California |
Profile Details
| NPI number | 1972587079 |
|---|---|
| LBN Legal business name | Chuck, Tracy Lynn |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Sep 17th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972587079 | NPPES |
| California | Other | 0PT267940 | MEDICARE PTAN |
| California | Other | P00174988 | MEDICARE PTAN |
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