Bracke, Rachael M.

Bracke, Rachael M. is an individual health care provider with primary practice located at 3030 Big Horn Ave , Cody WY 82414-9208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Bracke, Rachael M. can be contacted via phone (307) 578-1955.

Contact Information

Primary practice address
3030 Big Horn Ave Cody WY 82414-9208
Phone: (307) 578-1955
Fax: (307) 578-1979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 29717 Alabama
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 8977A Wyoming

Profile Details

NPI number 1487815742
LBN Legal business name Bracke, Rachael M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jan 29th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487815742 NPPES
Mississippi MEDICAID 04053391
Mississippi MEDICAID 129285
Mississippi Other 051117619
Mississippi MEDICAID 133448400
Mississippi Other 051117620
Mississippi MEDICAID 129284
Mississippi MEDICAID 129286
Mississippi Other 051117618

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