Brackeen, Marsha M.

Brackeen, Marsha M. is an individual health care provider with primary practice located at 400 Soldier Creek Dr , Rosebud SD 57570-8502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brackeen, Marsha M. can be contacted via phone (605) 747-0441.

Contact Information

Primary practice address
400 Soldier Creek Dr Rosebud SD 57570-8502
Phone: (605) 747-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 591 Tennessee

Profile Details

NPI number 1457306532
LBN Legal business name Brackeen, Marsha M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 17th, 2018 - about 7 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 1457306532 NPPES
Tennessee Other 970015753 RAILROAD MEDICARE
Tennessee Other 4009459 RAILROAD MEDICARE

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