Bragagnini, Amy M

Bragagnini, Amy M is an individual health care provider with primary practice located at 630 Kenmoor Ave Se Suite 103, Grand Rapids MI 49546. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Bragagnini, Amy M can be contacted via phone (616) 600-4950.

Contact Information

Primary practice address
630 Kenmoor Ave Se Suite 103 Grand Rapids MI 49546
Phone: (616) 600-4950
Fax: (855) 817-3028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 886364
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1439 Connecticut

Profile Details

NPI number 1336696459
LBN Legal business name Bragagnini, Amy M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336696459 NPPES
Connecticut Other C02658 YNHH MEDICARE NUMBER

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