Brage, Michael E
Brage, Michael E is an individual health care provider with primary practice located at 908 Jefferson St Box 359799, Seattle WA 98104-2433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Brage, Michael E can be contacted via phone (206) 744-4830.Contact Information
Primary practice address
908 Jefferson St Box 359799
Seattle WA 98104-2433
Phone: (206) 744-4830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | MD00028221 | Washington |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00028221 | Washington |
Profile Details
| NPI number | 1194728709 |
|---|---|
| LBN Legal business name | Brage, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | May 12th, 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 | 1194728709 | NPPES |
| Washington | Other | 0275659 | L&I PROVIDER NUMBER |
| Washington | MEDICAID | 1194728709 | L&I PROVIDER NUMBER |
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