Sam Brake DC

NPI 1154513315 - Chiropractor - 111N00000X

NPI Details
NPI 1154513315
Gender Male
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
19315 W CATAWBA AVE
SUITE 100
CORNELIUS NC, 28031-8650, US
Phone (704) 896-1811
Fax (704) 896-1812
Business Location
1570 ABERCORN ST NW
CONCORD NC, 28027-3545, US
Phone (704) 886-5156
Fax
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number 3320
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According to our database, Dr. Sam Brake DC NPI is 1154513315, taxonomy code is 111N00000X and license number is 3320, license state is located at North Carolina. Sam Brake DC physically located at 19315 W Catawba Ave, Cornelius NC, 28031-8650. NPI Number Sam Brake DC has the Individual type.

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1154513315 NPI number is provided on an as is basis without warranty of any kind. 1154513315 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Brake DC are for informational purposes only.