Brewer, Harold Bernard

Brewer, Harold Bernard is an sole proprietor health care provider with primary practice located at 1171 Johns Mayton Rd , Brandon MS 39042-8364. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Brewer, Harold Bernard can be contacted via phone (601) 519-8209.

Contact Information

Primary practice address
1171 Johns Mayton Rd Brandon MS 39042-8364
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1659612836
LBN Legal business name Brewer, Harold Bernard
Credentials A.B.O.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2013
Last updated Apr 3rd, 2014 - about 11 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 1659612836 NPPES
Mississippi Other 006574 AMERICAN BOARD OF OPTICIANRY

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