Bragg, Shanda Rose
Bragg, Shanda Rose is an individual health care provider with primary practice located at 6709 S Minnesota Ave Suite 203, Sioux Falls SD 57108-2592. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Bragg, Shanda Rose can be contacted via phone (605) 274-2525.Contact Information
Primary practice address
6709 S Minnesota Ave Suite 203
Sioux Falls SD 57108-2592
Phone: (605) 274-2525
Fax: (605) 274-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 2471S1302X | South Dakota |
Profile Details
| NPI number | 1508292095 |
|---|---|
| LBN Legal business name | Bragg, Shanda Rose |
| Credentials | Registered Diagnostic Medical Sonographer (RDMS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2013 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508292095 | NPPES |
| South Dakota | Other | 101870 | ARDMS |
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