Search › West Virginia › 175T00000X
Burnett Brake, PRSS
NPI 1801509997 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1511 Washington St E
Charleston, WV 25311 - Phone
- (304) 741-7106
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia