Tracy, Ty N
Tracy, Ty N is an sole proprietor health care provider with primary practice located at 444 N Stone St , Fremont OH 43420-1530. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tracy, Ty N can be contacted via phone (419) 334-7737.Contact Information
Primary practice address
444 N Stone St
Fremont OH 43420-1530
Phone: (419) 334-7737
Fax: (419) 334-2528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2805 | Ohio |
Profile Details
| NPI number | 1326060666 |
|---|---|
| LBN Legal business name | Tracy, Ty N |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326060666 | NPPES |
| Ohio | Other | 000000362534 | ANTHEM BCBS |
| Ohio | Other | 7139412 | ANTHEM BCBS |
| Ohio | MEDICAID | 2117220 | ANTHEM BCBS |
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