Brewer, Jim Ed

Brewer, Jim Ed is an individual health care provider with primary practice located at 722 N Main St , Benton AR 72015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brewer, Jim Ed can be contacted via phone (501) 315-0059.

Contact Information

Primary practice address
722 N Main St Benton AR 72015
Phone: (501) 315-0059
Fax: (501) 315-0083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-3951 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-3951 Arkansas

Profile Details

NPI number 1275599987
LBN Legal business name Brewer, Jim Ed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated May 19th, 2021 - about 3 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 1275599987 NPPES
Arkansas MEDICAID 154130001

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