Brake, Daniel Walter

Brake, Daniel Walter is an individual health care provider with primary practice located at 300 Scuffletown Rd , Simpsonville SC 29681-7204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brake, Daniel Walter can be contacted via phone (864) 329-0029.

Contact Information

Primary practice address
300 Scuffletown Rd Simpsonville SC 29681-7204
Phone: (864) 329-0029
Fax: (864) 329-8125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23655 South Carolina

Profile Details

NPI number 1861432387
LBN Legal business name Brake, Daniel Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 10th, 2023 - about 2 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 1861432387 NPPES
South Carolina MEDICAID 236550
South Carolina Other 7602457
South Carolina Other P00038952

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