Brewster, Samuel Dean

Brewster, Samuel Dean is an individual health care provider with primary practice located at 2820 E Rock Haven Road Suite 210, Harrisonville MO 64701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brewster, Samuel Dean can be contacted via phone (816) 380-7470.

Contact Information

Primary practice address
2820 E Rock Haven Road Suite 210 Harrisonville MO 64701
Fax: (816) 380-3291
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2002015285 Missouri

Profile Details

NPI number 1962491274
LBN Legal business name Brewster, Samuel Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 16th, 2011 - about 14 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 1962491274 NPPES
Missouri MEDICAID 209193903
Missouri Other 34192014

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