Brager, Michael Andrew

Brager, Michael Andrew is an individual health care provider with primary practice located at 14555 Levan Rd Suite 116, Livonia MI 48154-5083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brager, Michael Andrew can be contacted via phone (734) 464-0400.

Contact Information

Primary practice address
14555 Levan Rd Suite 116 Livonia MI 48154-5083
Fax: (734) 464-0404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MB081339 Michigan

Profile Details

NPI number 1164497194
LBN Legal business name Brager, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 11th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164497194 NPPES
Michigan Other 200H219010 BCBS
Michigan MEDICAID 4566680 BCBS

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