Organization
JOHN A. BRACCIO, PH.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. BRACCIO PH.D. (OWNER)
(517) 332-0153
Entity
Organization
Contact information
Practice address
1401 E LANSING DR STE 111, EAST LANSING, MI 48823-2992
(517) 332-0153
(517) 332-2960
Mailing address
1401 E LANSING DR STE 111, EAST LANSING, MI 48823-2992
(517) 332-0153
(517) 332-2960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016571
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC31931
BLUE CROSS AND BLUE SHIELD PROVIDER NUMBER
MI
Enumeration date
04/01/2016
Last updated
04/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us