Braaten, Marilyn

Braaten, Marilyn is an individual health care provider with primary practice located at 121 S 4Th St , Thermopolis WY 82443-2634. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Braaten, Marilyn can be contacted via phone (307) 864-3138.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578853966
LBN Legal business name Braaten, Marilyn
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Jun 17th, 2016 - about 8 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 1578853966 NPPES
Wyoming MEDICAID 130737100

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