Law, Tracy M
Law, Tracy M is an individual health care provider with primary practice located at 205 E Lamar St , Americus GA 31709-3632. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Law, Tracy M can be contacted via phone (229) 924-9595.Contact Information
Primary practice address
205 E Lamar St
Americus GA 31709-3632
Phone: (229) 924-9595
Fax: (229) 924-9540
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 007303 | Georgia |
Profile Details
NPI number | 1790783785 |
---|---|
LBN Legal business name | Law, Tracy M |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Apr 18th, 2008 - about 17 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 | 1790783785 | NPPES |
Georgia | MEDICAID | 373629458A | |
Georgia | MEDICAID | 373629458B |
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