Brewer, Cameron Craig

Brewer, Cameron Craig is an sole proprietor health care provider with primary practice located at 11514 N Port Washington Rd Suite # 3A, Mequon WI 53092-3457. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Brewer, Cameron Craig can be contacted via phone (262) 292-6005.

Contact Information

Primary practice address
11514 N Port Washington Rd Suite # 3A Mequon WI 53092-3457
Phone: (262) 292-6005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3030-57 Wisconsin

Profile Details

NPI number 1255670360
LBN Legal business name Brewer, Cameron Craig
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2013
Last updated Oct 15th, 2018 - about 7 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 1255670360 NPPES
Wisconsin MEDICAID 1255670360
Wisconsin Other 1255670360
Wisconsin Other 000054176-K400129278
Wisconsin Other 3418

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