Brewer, Henry Howard
Brewer, Henry Howard is an individual health care provider with primary practice located at 2209 Memorial Dr , Waycross GA 31501-0983. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brewer, Henry Howard can be contacted via phone (912) 285-2021.Contact Information
Primary practice address
2209 Memorial Dr
Waycross GA 31501-0983
Phone: (912) 285-2021
Fax: (912) 285-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002187 | Georgia |
Profile Details
| NPI number | 1194702225 |
|---|---|
| LBN Legal business name | Brewer, Henry Howard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 23rd, 2024 - about 7 months 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 | 1194702225 | NPPES |
| Georgia | MEDICAID | 867974975A | |
| Georgia | MEDICAID | 867974975C |
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