Brewster, Gregory Scott
Brewster, Gregory Scott is an individual health care provider with primary practice located at 111 N Sepulveda Blvd Ste 210 , Manhattan Beach CA 90266-6849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brewster, Gregory Scott can be contacted via phone (310) 379-2134.Contact Information
Primary practice address
111 N Sepulveda Blvd Ste 210
Manhattan Beach CA 90266-6849
Phone: (310) 379-2134
Fax: (310) 379-4856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A61173 | California |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | A61173 | California |
Profile Details
NPI number | 1639164007 |
---|---|
LBN Legal business name | Brewster, Gregory Scott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2005 |
Last updated | Aug 13th, 2012 - about 13 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 | 1639164007 | NPPES |
California | MEDICAID | 00A611730 |
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