Brew, Carl Raymond
Brew, Carl Raymond is an sole proprietor health care provider with primary practice located at 1101 Newport Way , Roseville CA 95661-5314. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Registered Nurse is his primary health care specialty. Brew, Carl Raymond can be contacted via phone (916) 752-7401.Contact Information
Primary practice address
1101 Newport Way
Roseville CA 95661-5314
Phone: (916) 752-7401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 514120 | California |
| Nursing Service Providers / Case Management | 163WC0400X | 514120 | California |
Profile Details
| NPI number | 1093851743 |
|---|---|
| LBN Legal business name | Brew, Carl Raymond |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1093851743 | NPPES |
| California | Other | EPS011950 | PROVIDER NUMBER |
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