Sands, Charles Tracy

Sands, Charles Tracy is an sole proprietor health care provider with primary practice located at 1701 Ne 28Th St , Pompano Beach FL 33064-6859. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sands, Charles Tracy can be contacted via phone (954) 942-8402.

Contact Information

Primary practice address
1701 Ne 28Th St Pompano Beach FL 33064-6859
Phone: (954) 942-8402
Fax: (954) 946-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH4637 Florida

Profile Details

NPI number 1396789442
LBN Legal business name Sands, Charles Tracy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Sep 13th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396789442 NPPES
Florida MEDICAID 380444500

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