Braaten, Allan P

Braaten, Allan P is an individual health care provider with primary practice located at 121 S 4Th St , Thermopolis WY 82443-2634. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Braaten, Allan P can be contacted via phone (307) 864-3138.

Contact Information

Primary practice address
121 S 4Th St Thermopolis WY 82443-2634
Phone: (307) 864-3138
Fax: (307) 864-3139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC # 496 Wyoming

Profile Details

NPI number 1316150980
LBN Legal business name Braaten, Allan P
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Aug 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316150980 NPPES
Wyoming MEDICAID 132371700

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