Brewster, Cassandra L

Brewster, Cassandra L is an individual health care provider with primary practice located at 300 S Main St , Peculiar MO 64078-9603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brewster, Cassandra L can be contacted via phone (816) 779-1100.

Contact Information

Primary practice address
300 S Main St Peculiar MO 64078-9603
Phone: (816) 779-1100
Fax: (816) 779-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005036189 Missouri

Profile Details

NPI number 1801826193
LBN Legal business name Brewster, Cassandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 27th, 2022 - about 3 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 1801826193 NPPES
Other 706E393 MEDICARE INDIVIDUAL
Other 36302012 MEDICARE INDIVIDUAL
MEDICAID 207346206 MEDICARE INDIVIDUAL

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