Brewer, Theodore K

Brewer, Theodore K is an individual health care provider with primary practice located at 29000 Center Ridge Rd , Westlake OH 44145-5293. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Brewer, Theodore K can be contacted via phone (440) 827-5000.

Contact Information

Primary practice address
29000 Center Ridge Rd Westlake OH 44145-5293
Phone: (440) 827-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67-000032 Ohio

Profile Details

NPI number 1407849375
LBN Legal business name Brewer, Theodore K
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
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 1407849375 NPPES
Ohio Other 000000334911 ANTHEM BCBS
Ohio MEDICAID 2253243 ANTHEM BCBS

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