Brewton, Michael Shane

Brewton, Michael Shane is an individual health care provider with primary practice located at 4800 Ne Stallings Dr Suite110, Nacogdoches TX 75965-1249. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brewton, Michael Shane can be contacted via phone (936) 569-9443.

Contact Information

Primary practice address
4800 Ne Stallings Dr Suite110 Nacogdoches TX 75965-1249
Phone: (936) 569-9443
Fax: (936) 560-5667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 701994 Texas

Profile Details

NPI number 1598790719
LBN Legal business name Brewton, Michael Shane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 13th, 2009 - about 15 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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