Brewer, Thomas Gerald

Brewer, Thomas Gerald is an sole proprietor health care provider with primary practice located at 3200 W. Liberty Rd. Suite A, Ann Arbor MI 48103-9794. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Brewer, Thomas Gerald can be contacted via phone (734) 994-9181.

Contact Information

Primary practice address
3200 W. Liberty Rd. Suite A Ann Arbor MI 48103-9794
Phone: (734) 994-9181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301009090 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301009090 Michigan
Behavioral Health & Social Service Providers / Forensic 103TF0200X 6301009090 Michigan

Profile Details

NPI number 1033323563
LBN Legal business name Brewer, Thomas Gerald
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jul 25th, 2012 - about 12 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 1033323563 NPPES
Michigan Other 680H1480600 BLUE CROSS BLUE SHIELD NO

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