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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1003841214 NPPES
Missouri MEDICAID 241989565

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