Brewer, Mark Eugene
Brewer, Mark Eugene is an sole proprietor health care provider with primary practice located at 3800 Shoreline Dr , Wayzata MN 55391-9785. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brewer, Mark Eugene can be contacted via phone (952) 471-2555.Contact Information
Primary practice address
3800 Shoreline Dr
Wayzata MN 55391-9785
Phone: (952) 471-2555
Fax: (952) 471-2556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2026 | Minnesota |
Profile Details
| NPI number | 1003812991 |
|---|---|
| LBN Legal business name | Brewer, Mark Eugene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Apr 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003812991 | NPPES |
| Minnesota | MEDICAID | 204228200 |
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