Brewer, Jason D

Brewer, Jason D is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Brewer, Jason D can be contacted via phone (417) 820-2829.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2829
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2013022984 Missouri

Profile Details

NPI number 1851731962
LBN Legal business name Brewer, Jason D
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2013
Last updated Jan 28th, 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 1851731962 NPPES
Missouri Other P01241115 RR MCR
Missouri MEDICAID 1851731962 RR MCR
Missouri Other 431560263 RR MCR

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