John H. Braccio is a Clinical in East Lansing, Michigan. John H. Braccio practices all healthcare services and medical treatments related to Clinical. The NPI Number for John H. Braccio is 1700937034. The last update date is 2007-07-08.
John H. Braccio's current location address is 1401 E Lansing Dr Ste 111, East Lansing, Michigan. You can contact this provider via phone number 5173320153 and fax number 5173322960. The mailing address for John H. Braccio is 1401 E Lansing Dr Ste 111, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John H. Braccio |
|---|---|
| Address | 1401 E Lansing Dr Ste 111, East Lansing, Michigan |
| Phone Number | 5173320153 |
| Fax Number | 5173322960 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700937034 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 E Lansing Dr Ste 111 |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488232992 |
| Phone Number | 5173320153 |
| Fax Number | 5173322960 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | #6301001831 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 620C3-4546 | MI | BCBS | |
| 005-38247204200 | MI | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to John H. Braccio by the Centers for Medicare & Medicaid Services?
The John H. Braccio has been assigned the NPI (National Provider Identifier) 1700937034. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John H. Braccio is physically located?
The John H. Braccio is situated at the following address: 1401 E Lansing Dr Ste 111, East Lansing, MI 488232992.
What is John H. Braccio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John H. Braccio is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1700937034 assigned to John H. Braccio?
The John H. Braccio was issued its 1700937034 on 2007-01-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John H. Braccio last refreshed?
The information related to the John H. Braccio, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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