Brackett, Deborah Susan

Brackett, Deborah Susan is an individual health care provider with primary practice located at 214 E 23Rd St , Cheyenne WY 82001-3748. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brackett, Deborah Susan can be contacted via phone (307) 432-6629.

Contact Information

Primary practice address
214 E 23Rd St Cheyenne WY 82001-3748
Phone: (307) 432-6629
Fax: (307) 432-6634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 7748A Wyoming
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7748A Wyoming

Profile Details

NPI number 1306978580
LBN Legal business name Brackett, Deborah Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 5th, 2021 - about 4 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 1306978580 NPPES
Wyoming MEDICAID 1306978580

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