Sam Brake is a Chiropractor in Cornelius, North Carolina. Sam Brake practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sam Brake is 1154513315. The last update date is 2007-08-13.
Sam Brake's current location address is 19315 W Catawba Ave, Cornelius, North Carolina. You can contact this provider via phone number 7048961811 and fax number 7048961812. The mailing address for Sam Brake is 19315 W Catawba Ave, Cornelius, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Brake |
|---|---|
| Address | 19315 W Catawba Ave, Cornelius, North Carolina |
| Phone Number | 7048961811 |
| Fax Number | 7048961812 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1154513315 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 19315 W Catawba Ave |
|---|---|
| City | Cornelius |
| State | North Carolina (NC) |
| Post Code | 280318650 |
| Phone Number | 7048961811 |
| Fax Number | 7048961812 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3320 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sam Brake by the Centers for Medicare & Medicaid Services?
The Sam Brake has been assigned the NPI (National Provider Identifier) 1154513315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Sam Brake's physical address?
The Sam Brake is physically located at 19315 W Catawba Ave, in the city of Cornelius, NC, with the postal code 280318650.
What is Sam Brake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sam Brake's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154513315 to Sam Brake?
The Centers for Medicare & Medicaid Services originally issued the 1154513315 to Sam Brake on 2007-08-13.
As of what date were the Sam Brake's details last updated?
The information pertaining to the Sam Brake, including its address, specialty, and other details, was most recently updated on 2007-08-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL