Bragg, Dana Eugene

Bragg, Dana Eugene is an individual health care provider with primary practice located at 4 Hospital Plz Suite 304, Clarksburg WV 26301-9327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bragg, Dana Eugene can be contacted via phone (304) 624-7111.

Contact Information

Primary practice address
4 Hospital Plz Suite 304 Clarksburg WV 26301-9327
Phone: (304) 624-7111
Fax: (304) 624-9267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15635 West Virginia

Profile Details

NPI number 1598746562
LBN Legal business name Bragg, Dana Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 19 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 1598746562 NPPES
West Virginia MEDICAID 0071747000

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