Bragg, Jack Dwayne
Bragg, Jack Dwayne is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bragg, Jack Dwayne can be contacted via phone (573) 884-8445.Contact Information
Primary practice address
One Hospital Dr
Columbia MO 65212-0001
Phone: (573) 884-8445
Fax: (573) 884-5318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | R5C31 | Missouri |
Profile Details
| NPI number | 1003865239 |
|---|---|
| LBN Legal business name | Bragg, Jack Dwayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jun 11th, 2024 - about last year |
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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