Tracy J Tacket is a Family Medicine in Niles, Michigan. Tracy J Tacket practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracy J Tacket is 1487775847. The last update date is 2012-06-08.
Tracy J Tacket's current location address is 4 Longmeadow Village Dr, Niles, Michigan. You can contact this provider via phone number 2696846000 and fax number 2696841388. The mailing address for Tracy J Tacket is 4 Longmeadow Village Dr, Niles, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy J Tacket |
|---|---|
| Address | 4 Longmeadow Village Dr, Niles, Michigan |
| Phone Number | 2696846000 |
| Fax Number | 2696841388 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1487775847 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2012-06-08 |
Provider Mailing Address Detail
| Address | 4 Longmeadow Village Dr |
|---|---|
| City | Niles |
| State | Michigan (MI) |
| Post Code | 491207809 |
| Phone Number | 2696846000 |
| Fax Number | 2696841388 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101017117 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487775847 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracy J Tacket by the Centers for Medicare & Medicaid Services?
The Tracy J Tacket has been issued the NPI (National Provider Identifier) 1487775847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tracy J Tacket is physically located?
The Tracy J Tacket is situated at the following address: 4 Longmeadow Village Dr, Niles, MI 491207809.
What is Tracy J Tacket's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy J Tacket's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Tracy J Tacket receive its 1487775847 assignment?
The Tracy J Tacket was assigned its 1487775847 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Tracy J Tacket most recently updated or revised?
The information pertaining to Tracy J Tacket, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-08.
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