Merrell, Tracy Alan

Merrell, Tracy Alan is an individual health care provider with primary practice located at 1747 Medical Center Pkwy Suite 100, Murfreesboro TN 37129-2563. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Merrell, Tracy Alan can be contacted via phone (615) 848-1902.

Contact Information

Primary practice address
1747 Medical Center Pkwy Suite 100 Murfreesboro TN 37129-2563
Phone: (615) 848-1902
Fax: (615) 848-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000484 Tennessee

Profile Details

NPI number 1275515223
LBN Legal business name Merrell, Tracy Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 15th, 2021 - about 5 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 1275515223 NPPES
Tennessee Other 4038849 BCBS
Tennessee Other 4663010001 BCBS
Tennessee MEDICAID 3352573 BCBS

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