Brewer, Jody A.

Brewer, Jody A. is an individual health care provider with primary practice located at 222 S Herlong Ave , Rock Hill SC 29732-1158. 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, Jody A. can be contacted via phone (803) 329-6711.

Contact Information

Primary practice address
222 S Herlong Ave Rock Hill SC 29732-1158
Phone: (803) 329-6711
Fax: (803) 329-5120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 11 South Carolina

Profile Details

NPI number 1669462438
LBN Legal business name Brewer, Jody A.
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jun 23rd, 2011 - about 14 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 1669462438 NPPES
South Carolina MEDICAID AA0008

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