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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629273875 NPPES
Kansas MEDICAID 200672280B

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