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Contact Information

JESSICA BROGAN
108 VENICE CT
MIDWAY, WV25878
 Phone: 304-676-6013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JESSICA BROGAN · (Female)

NPI Number 1053994996
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2021
Last updated 04/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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