Peruch, Tracy B
Peruch, Tracy B is an sole proprietor health care provider with primary practice located at 6770 W Deer Valley Rd #B102, Glendale AZ 85310-5956. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Naturopath. Other Service Providers / Naturopath is his primary health care specialty. Peruch, Tracy B can be contacted via phone (623) 362-1950.Contact Information
Primary practice address
6770 W Deer Valley Rd #B102
Glendale AZ 85310-5956
Phone: (623) 362-1950
Fax: (623) 572-2741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5710 | Arizona |
| Other Service Providers / Naturopath | 175F00000X | 09-1105 | Arizona |
Profile Details
| NPI number | 1124026307 |
|---|---|
| LBN Legal business name | Peruch, Tracy B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Apr 6th, 2009 - about 15 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 | 1124026307 | NPPES |
| Arizona | Other | 1Z5304 | HEALTH NET |
| Arizona | Other | AZ0940160 | HEALTH NET |
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