Brake, Garry L

Brake, Garry L is an individual health care provider with primary practice located at 210 Jones Rd Suite 2 5, Falmouth MA 02540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brake, Garry L can be contacted via phone (508) 540-9771.

Contact Information

Primary practice address
210 Jones Rd Suite 2 5 Falmouth MA 02540
Phone: (508) 540-9771
Fax: (508) 540-3158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 81477 Massachusetts

Profile Details

NPI number 1366516619
LBN Legal business name Brake, Garry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 3rd, 2011 - about 13 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 1366516619 NPPES
Other 1700749 UNITED HEALTH CARE
MEDICAID 3141055 UNITED HEALTH CARE
Other B48181 UNITED HEALTH CARE
Other 801528 UNITED HEALTH CARE
Other 759653 UNITED HEALTH CARE

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