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
Phone: (337) 234-4987
Fax: (337) 234-5755
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275592438 | NPPES |
Louisiana | MEDICAID | 1536067 |
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