Brewer, Hamilton Clark
Brewer, Hamilton Clark is an sole proprietor health care provider with primary practice located at 212 East Winslow Road , Bloomington IN 47401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brewer, Hamilton Clark can be contacted via phone (812) 337-8888.Contact Information
Primary practice address
212 East Winslow Road
Bloomington IN 47401
Phone: (812) 337-8888
Fax: (812) 337-1931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009110 | Indiana |
Profile Details
| NPI number | 1922012483 |
|---|---|
| LBN Legal business name | Brewer, Hamilton Clark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jun 19th, 2015 - about 10 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 | 1922012483 | NPPES |
| Indiana | MEDICAID | 100185060A |
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