Bagwell, Tracy Glen
Bagwell, Tracy Glen is an individual health care provider with primary practice located at 2227 Drake Avenue Suite 13, Huntsville AL 35805. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bagwell, Tracy Glen can be contacted via phone (256) 880-8833.Contact Information
Primary practice address
2227 Drake Avenue Suite 13
Huntsville AL 35805
Phone: (256) 880-8833
Fax: (256) 880-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | AL1224 | Alabama |
Profile Details
| NPI number | 1821028325 |
|---|---|
| LBN Legal business name | Bagwell, Tracy Glen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1821028325 | NPPES |
| Alabama | Other | 71286 | BLUE CROSS BLUE SHIELD |
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