Brayfield, Samuel
Brayfield, Samuel is an individual health care provider with primary practice located at 5816 Osage Beach Pkwy Suite 108, Osage Beach MO 65065-3046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brayfield, Samuel can be contacted via phone (573) 636-3313.Contact Information
Primary practice address
5816 Osage Beach Pkwy Suite 108
Osage Beach MO 65065-3046
Phone: (573) 636-3313
Fax: (573) 636-5881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R1E19 | Missouri |
Profile Details
| NPI number | 1003841214 |
|---|---|
| LBN Legal business name | Brayfield, Samuel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 14th, 2014 - about 11 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 | 1003841214 | NPPES |
| Missouri | MEDICAID | 241989565 |
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