Bracchi, Roger L

Bracchi, Roger L is an individual health care provider with primary practice located at 1806 W Lincoln Ave , Yakima WA 98902-2473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bracchi, Roger L can be contacted via phone (509) 452-4520.

Contact Information

Primary practice address
1806 W Lincoln Ave Yakima WA 98902-2473
Fax: (509) 452-5224
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00015316 Washington

Profile Details

NPI number 1811996127
LBN Legal business name Bracchi, Roger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 1st, 2012 - about 12 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 1811996127 NPPES
Washington MEDICAID 1030782
Washington Other 0042775
Washington Other 8938324
Washington Other P00050809

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