Provider Demographics
NPI:1811148919
Name:FRANCIS-NGUYEN, TRACY C (DC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:C
Last Name:FRANCIS-NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:C
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:105 CLARMAR DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-2675
Mailing Address - Country:US
Mailing Address - Phone:608-318-5929
Mailing Address - Fax:608-318-5922
Practice Address - Street 1:707 PHILLIPS BLVD
Practice Address - Street 2:
Practice Address - City:SAUK CITY
Practice Address - State:WI
Practice Address - Zip Code:53583-1364
Practice Address - Country:US
Practice Address - Phone:608-643-8643
Practice Address - Fax:608-643-4902
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4443-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38187900Medicaid