John A. Braccio, Ph.D., L.L.C.

LBN: John A. Braccio, Ph.D., L.L.C.
John A. Braccio, Ph.D., L.L.C. is an health care organization with primary practice located at 1401 E Lansing Dr Ste 111 , East Lansing MI 48823-2992. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. John A. Braccio, Ph.D., L.L.C. can be contacted via phone (517) 332-0153, or through Braccio, John A. via phone (517) 332-0153.

Contact Information

Primary practice address
1401 E Lansing Dr Ste 111 East Lansing MI 48823-2992
Phone: (517) 332-0153
Fax: (517) 332-2960
Website:
Map and Directions
Authorized official contact:
Name: Braccio, John A. PH.D.
Phone: (517) 332-0153

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301016571 Michigan

Profile Details

NPI number 1164885612
LBN Legal business name John A. Braccio, Ph.D., L.L.C.
DBA Doing business as
Authorized official Braccio, John A. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2016
Last updated Apr 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164885612 NPPES
Michigan Other OC31931 BLUE CROSS AND BLUE SHIELD PROVIDER NUMBER

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