Brewer, Gary

Brewer, Gary is an individual health care provider with primary practice located at 216 Anamaria Dr , Rapid City SD 57701-7366. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brewer, Gary can be contacted via phone (605) 721-0337.

Contact Information

Primary practice address
216 Anamaria Dr Rapid City SD 57701-7366
Phone: (605) 721-0337
Fax: (605) 721-0043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R021761 South Dakota

Profile Details

NPI number 1427042944
LBN Legal business name Brewer, Gary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 19 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 1427042944 NPPES
South Dakota MEDICAID 5750045

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