Ford, Tracy

Ford, Tracy is an individual health care provider with primary practice located at 6913 N Main St , Granger IN 46530-8039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ford, Tracy can be contacted via phone (574) 647-1500.

Contact Information

Primary practice address
6913 N Main St Granger IN 46530-8039
Phone: (574) 647-1500
Fax: (574) 243-4306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005567A Indiana

Profile Details

NPI number 1376925891
LBN Legal business name Ford, Tracy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2015
Last updated May 1st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376925891 NPPES
Indiana MEDICAID 201309890

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