Brewer, Jonathan D

Brewer, Jonathan D is an individual health care provider with primary practice located at 4864 Jackson St , Monroe LA 71202-6400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brewer, Jonathan D can be contacted via phone (318) 330-7626.

Contact Information

Primary practice address
4864 Jackson St Monroe LA 71202-6400
Phone: (318) 330-7626
Fax: (318) 330-7648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.A10437.RX Louisiana

Profile Details

NPI number 1043359706
LBN Legal business name Brewer, Jonathan D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1043359706 NPPES
Louisiana MEDICAID 1781371

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