Russell, Tracy Owen
Russell, Tracy Owen is an sole proprietor health care provider with primary practice located at 2523 Se Washington Blvd. , Bartlesville OK 74006-8338. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Tracy Owen can be contacted via phone (918) 333-3363.Contact Information
Primary practice address
2523 Se Washington Blvd.
Bartlesville OK 74006-8338
Phone: (918) 333-3363
Fax: (918) 333-5539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3166 | Oklahoma |
Profile Details
| NPI number | 1316010572 |
|---|---|
| LBN Legal business name | Russell, Tracy Owen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 9th, 2024 - about 2 months 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 | 1316010572 | NPPES |
| Oklahoma | Other | DF3888 | PALMETTO# |
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