Brake, Sami

Brake, Sami is an individual health care provider with primary practice located at 145 Michigan St Ne Ste 5200 , Grand Rapids MI 49503-2565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Brake, Sami can be contacted via phone (616) 486-5933.

Contact Information

Primary practice address
145 Michigan St Ne Ste 5200 Grand Rapids MI 49503-2565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301085894 Michigan

Profile Details

NPI number 1043416811
LBN Legal business name Brake, Sami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Feb 24th, 2021 - about 3 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 1043416811 NPPES
New York MEDICAID 03349162

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