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NPI Code Detail

MEDICARE: DR. TRACY LYNN SALINAS MD

MEDICARE: DR. TRACY LYNN SALINAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01047126AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000991450OTHERINANTHEM PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053303032
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY LYNN SALINAS MD
Provider Business Mailing Address
First Line : PO BOX 775383
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5383
Country : US
Telephone Number : 812-376-5315
Fax Number :
Provider Business Practice Location Address
First Line : 2118 25TH ST STE D
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3240
Country : US
Telephone Number : 812-372-8281
Fax Number : 812-372-4525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 09/06/2024

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