Gabbert, Tracy Lee
Gabbert, Tracy Lee is an sole proprietor health care provider with primary practice located at 115 S Kendrick Ave , Glendive MT 59330-1626. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Gabbert, Tracy Lee can be contacted via phone (406) 377-2101.Contact Information
Primary practice address
115 S Kendrick Ave
Glendive MT 59330-1626
Phone: (406) 377-2101
Fax: (406) 377-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 361 | Montana |
Profile Details
| NPI number | 1518963057 |
|---|---|
| LBN Legal business name | Gabbert, Tracy Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Aug 27th, 2007 - about 18 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 | 1518963057 | NPPES |
| Montana | MEDICAID | 0160199 | |
| Montana | Other | 41410 | |
| Montana | MEDICAID | 0162929 |
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