Bracken, Teresa Lynn
Bracken, Teresa Lynn is an individual health care provider with primary practice located at 205 W 27Th St , Scottsbluff NE 69361-4307. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bracken, Teresa Lynn can be contacted via phone (308) 635-3296.Contact Information
Primary practice address
205 W 27Th St
Scottsbluff NE 69361-4307
Phone: (308) 635-3296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12464 | Nebraska |
| Pharmacy Service Providers / Pharmacist | 183500000X | 14371-040 | Wisconsin |
Profile Details
| NPI number | 1861599243 |
|---|---|
| LBN Legal business name | Bracken, Teresa Lynn |
| Credentials | RP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1861599243 | NPPES |
| Wisconsin | Other | 14371-040 | PHARMACIST LICENSE |
| Wisconsin | Other | 12464 | PHARMACIST LICENSE |
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