Tracy M Chong, L.M.T.

Key facts

NPI

1376701425

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

13311 (OH)

Practice address

716 W Market St Ste a
Tiffin, OH 44883-2582

Phone

(419) 443-8877

Fax

(419) 443-8885

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jerrold L Solomon DC Inc General Practice Physician · Tiffin, OH · NPI 1992926109
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2008.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1376701425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W MARKET ST STE A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832582",
            "telephone_number": "419-443-8877",
            "fax_number": "419-443-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W MARKET ST STE A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832582",
            "telephone_number": "419-443-8877",
            "fax_number": "419-443-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "13311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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