Brewer, Robert Judson

Brewer, Robert Judson is an individual health care provider with primary practice located at 220 S Park Ave 3Rd Floor, Herrin IL 62948-3612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brewer, Robert Judson can be contacted via phone (618) 942-2002.

Contact Information

Primary practice address
220 S Park Ave 3Rd Floor Herrin IL 62948-3612
Phone: (618) 942-2002
Fax: (618) 351-6497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23499 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 036117928 Illinois

Profile Details

NPI number 1457355315
LBN Legal business name Brewer, Robert Judson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 12th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457355315 NPPES
Illinois Other 7210895 AETNA
Illinois MEDICAID 036117928 AETNA
Illinois Other 3932056 AETNA
Illinois Other 654532 AETNA
Illinois Other 133018 AETNA
Illinois Other 319226 AETNA
Illinois MEDICAID 64234990 AETNA

Popular Providers