Brewer, Lillian Nicole

Brewer, Lillian Nicole is an individual health care provider with primary practice located at 4130 Fox Brush Dr , Evans GA 30809-4856. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brewer, Lillian Nicole can be contacted via phone (706) 825-9966.

Contact Information

Primary practice address
4130 Fox Brush Dr Evans GA 30809-4856
Fax:
Website:

Health care specialties

Profile Details

NPI number 1124267646
LBN Legal business name Brewer, Lillian Nicole
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Feb 5th, 2009 - about 15 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 1124267646 NPPES
South Carolina MEDICAID 225X00000X

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