Ingram, Tina Michelle
Ingram, Tina Michelle is an individual health care provider with primary practice located at 921 W Dallas St , Canton TX 75103-1009. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ingram, Tina Michelle can be contacted via phone (903) 567-5579.Contact Information
Primary practice address
921 W Dallas St
Canton TX 75103-1009
Phone: (903) 567-5579
Fax: (903) 567-5938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6598 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1012507 | Texas |
Profile Details
| NPI number | 1932292612 |
|---|---|
| LBN Legal business name | Ingram, Tina Michelle |
| Credentials | DC, FNP-C, DIPL.AC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932292612 | NPPES |
| Texas | Other | 87391Y | BCBS |
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