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DR TRACY RAE SIMON CHIROPRACTIC INC NPI 1043341498


NPI Information

NPI: 1043341498
Provider Name: DR TRACY RAE SIMON CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
530 W MONTE VISTA AVE
VACAVILLE, CA
ZIP 95688
Phone: (707) 448-9661
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DR TRACY RAE SIMON CHIROPRACTIC INC is a chiropractor in Vacaville, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR TRACY RAE SIMON CHIROPRACTIC INC NPI is 1043341498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

530 W MONTE VISTA AVE
VACAVILLE, CA
ZIP 95688-620
Phone: (707) 448-9661
Fax: (707) 448-9663

The provider's authorized official is Tracy Rae Skinner Simon .
The authorized official title is Owner President and has the following contact phone number (707) 448-9661.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC27700CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ22011ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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