Bracken, Quavon L
Bracken, Quavon L is an individual health care provider with primary practice located at 704 W 26Th Ave Ste 206 , Anchorage AK 99503-2532. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bracken, Quavon L can be contacted via phone (907) 929-2633.Contact Information
Primary practice address
704 W 26Th Ave Ste 206
Anchorage AK 99503-2532
Phone: (907) 929-2633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Alaska |
Profile Details
| NPI number | 1558048645 |
|---|---|
| LBN Legal business name | Bracken, Quavon L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2023 |
| Last updated | Jun 29th, 2023 - about 2 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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