Bragg, Ricky Wayne

Bragg, Ricky Wayne is an individual health care provider with primary practice located at Mdigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-Clq-C, Tacoma WA 98431-1100. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is his primary health care specialty. Bragg, Ricky Wayne can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
Mdigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-Clq-C Tacoma WA 98431-1100
Phone: (253) 968-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP00056294 Washington
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 186791 Texas

Profile Details

NPI number 1538671508
LBN Legal business name Bragg, Ricky Wayne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Oct 31st, 2017 - about 9 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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