Bragg, Shane Edward

Bragg, Shane Edward is an individual health care provider with primary practice located at 1520 Irish Mtn Rd , Shady Spring WV 25918. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Bragg, Shane Edward can be contacted via phone (304) 222-1156.

Contact Information

Primary practice address
1520 Irish Mtn Rd Shady Spring WV 25918
Phone: (304) 222-1156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1548868474
LBN Legal business name Bragg, Shane Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Jan 9th, 2023 - about 3 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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