South, Barron Tracy

South, Barron Tracy is an sole proprietor health care provider with primary practice located at 505 E Double Eagle Pl , Fayetteville AR 72701-7143. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. South, Barron Tracy can be contacted via phone (479) 856-6571.

Contact Information

Primary practice address
505 E Double Eagle Pl Fayetteville AR 72701-7143
Phone: (479) 856-6571
Fax: (479) 856-6571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X C22172 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 1781 Arkansas

Profile Details

NPI number 1609847847
LBN Legal business name South, Barron Tracy
Credentials MS, PT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Sep 14th, 2009 - about 16 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 1609847847 NPPES
Arkansas MEDICAID 129332721

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