Brazelton, Roger E

Brazelton, Roger E is an sole proprietor health care provider with primary practice located at 2713 Cougar Ave , Cody WY 82414-8400. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Brazelton, Roger E can be contacted via phone (307) 587-5112.

Contact Information

Primary practice address
2713 Cougar Ave Cody WY 82414-8400
Phone: (307) 587-5112
Fax: (307) 587-5446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1386083103
LBN Legal business name Brazelton, Roger E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2013
Last updated Jun 14th, 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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