Brewster, Jessica M
Brewster, Jessica M is an individual health care provider with primary practice located at 1035 Alto Street , Santa Fe NM 87502-2406. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Brewster, Jessica M can be contacted via phone (505) 984-5048.Contact Information
Primary practice address
1035 Alto Street
Santa Fe NM 87502-2406
Phone: (505) 984-5048
Fax: (505) 983-4751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1846 | New Mexico |
Profile Details
| NPI number | 1629066634 |
|---|---|
| LBN Legal business name | Brewster, Jessica M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629066634 | NPPES |
| New Mexico | MEDICAID | 87685 |
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