Bragg, Joann

Bragg, Joann is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bragg, Joann can be contacted via phone (304) 348-7740.

Contact Information

Primary practice address
200 Elizabeth St Charleston WV 25311-2119
Phone: (304) 348-7740
Fax: (304) 348-6671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 9703 West Virginia

Profile Details

NPI number 1396919700
LBN Legal business name Bragg, Joann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396919700 NPPES
West Virginia MEDICAID 9489018000

Popular Providers