Provider Demographics
NPI:1649967373
Name:FREEMAN & TRACY CHIROPRACTIC
Entity type:Organization
Organization Name:FREEMAN & TRACY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSISCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:TED
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-780-2488
Mailing Address - Street 1:503 CTR WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292
Mailing Address - Country:US
Mailing Address - Phone:704-780-2488
Mailing Address - Fax:
Practice Address - Street 1:215 W US HIGHWAY 64 STE 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-2508
Practice Address - Country:US
Practice Address - Phone:363-243-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty