Brewner, Eric A
Brewner, Eric A is an individual health care provider with primary practice located at 1770 Deer Creek Rd , Monument CO 80132-9088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brewner, Eric A can be contacted via phone (719) 488-2244.Contact Information
Primary practice address
1770 Deer Creek Rd
Monument CO 80132-9088
Phone: (719) 488-2244
Fax: (719) 481-1620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33601 | Colorado |
Profile Details
| NPI number | 1558350819 |
|---|---|
| LBN Legal business name | Brewner, Eric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558350819 | NPPES |
| Colorado | MEDICAID | 01336015 |
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