Braver, Barry
Braver, Barry is an sole proprietor health care provider with primary practice located at 17520 Chester St , Detroit MI 48224-1212. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Braver, Barry can be contacted via phone (313) 884-0900.Contact Information
Primary practice address
17520 Chester St
Detroit MI 48224-1212
Phone: (313) 884-0900
Fax: (313) 884-8062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101007774 | Michigan |
Profile Details
| NPI number | 1275592412 |
|---|---|
| LBN Legal business name | Braver, Barry |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | May 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275592412 | NPPES |
| Michigan | MEDICAID | 2808979 |
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