Lyons, Tracy
Lyons, Tracy is an individual health care provider with primary practice located at 825 Walton Dr , Plymouth WI 53073-5022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lyons, Tracy can be contacted via phone (920) 892-4322.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3187 | Wisconsin |
Profile Details
| NPI number | 1679650097 |
|---|---|
| LBN Legal business name | Lyons, Tracy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 1st, 2013 - about 12 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 | 1679650097 | NPPES |
| Wisconsin | MEDICAID | 38887000 |
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