Brewer, Dale J
Brewer, Dale J is an sole proprietor health care provider with primary practice located at 6420 The Cedars Ct , Cedar Hill MO 63016-2222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brewer, Dale J can be contacted via phone (636) 274-2700.Contact Information
Primary practice address
6420 The Cedars Ct
Cedar Hill MO 63016-2222
Phone: (636) 274-2700
Fax: (636) 274-4660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R8F65 | Missouri |
Profile Details
| NPI number | 1952394041 |
|---|---|
| LBN Legal business name | Brewer, Dale J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Nov 8th, 2011 - about 14 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 | 1952394041 | NPPES |
| Missouri | MEDICAID | 242286706 |
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