Brewer, Marty Chadwick

Brewer, Marty Chadwick is an individual health care provider with primary practice located at 711 Cox Creek Pkwy , Florence AL 35630-1001. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Brewer, Marty Chadwick can be contacted via phone (256) 766-3139.

Contact Information

Primary practice address
711 Cox Creek Pkwy Florence AL 35630-1001
Phone: (256) 766-3139
Fax: (256) 760-1849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X S-A64-TA-625 Alabama

Profile Details

NPI number 1508973264
LBN Legal business name Brewer, Marty Chadwick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 1st, 2010 - 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 1508973264 NPPES
Alabama MEDICAID 051554085

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