Brew, Mark
Brew, Mark is an sole proprietor health care provider with primary practice located at 3120 Midland Valley St , Norman OK 73069-6970. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Licensed Practical Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Brew, Mark can be contacted via phone (614) 943-1041.Contact Information
Primary practice address
3120 Midland Valley St
Norman OK 73069-6970
Phone: (614) 943-1041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209311 | Oklahoma |
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN.133673-M-IV | Ohio |
Profile Details
| NPI number | 1982999504 |
|---|---|
| LBN Legal business name | Brew, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2011 |
| Last updated | Jul 20th, 2022 - about 4 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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