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
Fax: (903) 567-5938
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932292612 NPPES
Texas Other 87391Y BCBS

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