Braccio, John H.
Braccio, John H. is an sole proprietor health care provider with primary practice located at 1401 E Lansing Dr Ste 111 , East Lansing MI 48823-2992. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Braccio, John H. can be contacted via phone (517) 332-0153.Contact Information
Primary practice address
1401 E Lansing Dr Ste 111
East Lansing MI 48823-2992
Phone: (517) 332-0153
Fax: (517) 332-2960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | #6301001831 | Michigan |
Profile Details
| NPI number | 1700937034 |
|---|---|
| LBN Legal business name | Braccio, John H. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700937034 | NPPES |
| Michigan | Other | 620C3-4546 | BCBS |
| Michigan | Other | 005-38247204200 | BCBS |
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