Richardson, Tracy M

Richardson, Tracy M is an individual health care provider with primary practice located at 1304 Bertrand Dr Ste F5 , Lafayette LA 70506-9106. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Richardson, Tracy M can be contacted via phone (337) 234-4987.

Contact Information

Primary practice address
1304 Bertrand Dr Ste F5 Lafayette LA 70506-9106
Fax: (337) 234-5755
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1136 Louisiana

Profile Details

NPI number 1275592438
LBN Legal business name Richardson, Tracy M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 25th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275592438 NPPES
Louisiana MEDICAID 1536067

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