Tracy Bigelow, Do, Inc

LBN: Tracy Bigelow, Do, Inc
Tracy Bigelow, Do, Inc is an health care organization with primary practice located at 1335 Coffee Rd Ste 100, Modesto CA 95355-3188. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as the primary health care specialty. Tracy Bigelow, Do, Inc can be contacted via phone (209) 524-4649, or through Bigelow, Tracy L via phone (209) 524-4649.

Contact Information

Primary practice address
1335 Coffee Rd Ste 100 Modesto CA 95355-3188
Phone: (209) 524-4649
Fax: (209) 524-7395
Website:
Map and Directions
Authorized official contact:
Name: Bigelow, Tracy L Doctor of Osteopathy (DO)
Phone: (209) 524-4649

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 20A11567 California

Profile Details

NPI number 1760789762
LBN Legal business name Tracy Bigelow, Do, Inc
DBA Doing business as
Authorized official Bigelow, Tracy L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2011
Last updated Jan 7th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760789762 NPPES
California Other 20A 11567 CALIFORNIA OSTEOPATHIC MEDICAL LICENSE

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