Brewer, Jacquelyn Michelle
Brewer, Jacquelyn Michelle is an individual health care provider with primary practice located at 32 Strawberry Hill Court Ear, Nose, And Throat Center, Stamford CT 06902-2594. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Brewer, Jacquelyn Michelle can be contacted via phone (203) 359-3533.Contact Information
Primary practice address
32 Strawberry Hill Court Ear, Nose, And Throat Center
Stamford CT 06902-2594
Phone: (203) 359-3533
Fax: (203) 357-8109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 049534 | Connecticut |
Profile Details
| NPI number | 1184827784 |
|---|---|
| LBN Legal business name | Brewer, Jacquelyn Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2007 |
| Last updated | Oct 19th, 2012 - about 13 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 | 1184827784 | NPPES |
| Other | BP1-0026059 | INSTITUTIONAL PERMIT |
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