Brew, Douglas S

Brew, Douglas S is an individual health care provider with primary practice located at 1520 Northway Court Centracare Clinic Heartland, St Cloud MN 56303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brew, Douglas S can be contacted via phone (320) 251-1775.

Contact Information

Primary practice address
1520 Northway Court Centracare Clinic Heartland St Cloud MN 56303
Phone: (320) 251-1775
Fax: (320) 240-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39617 Minnesota

Profile Details

NPI number 1568453710
LBN Legal business name Brew, Douglas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 22nd, 2011 - about 13 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 1568453710 NPPES
Other 337513700 MEDICAL ASSISTANCE
Other 0101842 MEDICAL ASSISTANCE
Other 2114055 MEDICAL ASSISTANCE
Other 620292 MEDICAL ASSISTANCE
Other 86D72BR MEDICAL ASSISTANCE
Other 080089973 MEDICAL ASSISTANCE
Other 1013394 MEDICAL ASSISTANCE
Other 116610 MEDICAL ASSISTANCE
Other HP22750 MEDICAL ASSISTANCE

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