Bragg, Robert

Bragg, Robert is an individual health care provider with primary practice located at 610 W Broadway Ave Ste L1 , Jackson WY 83001-8213. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bragg, Robert can be contacted via phone (307) 733-3908.

Contact Information

Primary practice address

610 W Broadway Ave Ste L1 Jackson WY 83001-8213

Phone: (307) 733-3908

Fax: (307) 734-0017

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder)	101YA0400X	LAT-202	Wyoming

Profile Details

NPI number	1225469661
LBN Legal business name	Bragg, Robert
Credentials	Licensed Athletic Trainer (LAT)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 11th, 2013
Last updated	Dec 11th, 2013 - about 12 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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