Bragg, Dee Ann
Bragg, Dee Ann is an individual health care provider with primary practice located at 1121 S Clifton Ave , Wichita KS 67218-2912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bragg, Dee Ann can be contacted via phone (316) 858-3460.Contact Information
Primary practice address
1121 S Clifton Ave
Wichita KS 67218-2912
Phone: (316) 858-3460
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046788 | Kansas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-33340 | Kansas |
Profile Details
NPI number | 1629273875 |
---|---|
LBN Legal business name | Bragg, Dee Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2007 |
Last updated | Sep 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629273875 | NPPES |
Kansas | MEDICAID | 200672280B |
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