Smart, Tracy Jon

Smart, Tracy Jon is an individual health care provider with primary practice located at 708 Bridge St , Park Rapids MN 56470-1215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smart, Tracy Jon can be contacted via phone (218) 732-7261.

Contact Information

Primary practice address
708 Bridge St Park Rapids MN 56470-1215
Fax: (218) 732-7261
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2466 Minnesota

Profile Details

NPI number 1285630053
LBN Legal business name Smart, Tracy Jon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285630053 NPPES
Minnesota Other 2C941SM BLUE CROSS/BLUE SHIELD

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