Brouwer, Lawrence Dale
Brouwer, Lawrence Dale is an individual health care provider with primary practice located at 411 W Main St , Hamilton MT 59840-2470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brouwer, Lawrence Dale can be contacted via phone (406) 363-5104.Contact Information
Primary practice address
411 W Main St
Hamilton MT 59840-2470
Phone: (406) 363-5104
Fax: (406) 363-2894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9684 | Montana |
Profile Details
| NPI number | 1306922885 |
|---|---|
| LBN Legal business name | Brouwer, Lawrence Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| 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 | 1306922885 | NPPES |
| Montana | Other | A002 | TRICARE |
| Montana | MEDICAID | 0069134 | TRICARE |
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