Brewer, Haley Jane

Brewer, Haley Jane is an sole proprietor health care provider with primary practice located at 22285 N Pepper Rd Ste 302 , Lake Barrington IL 60010-2541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brewer, Haley Jane can be contacted via phone (847) 726-0774.

Contact Information

Primary practice address
22285 N Pepper Rd Ste 302 Lake Barrington IL 60010-2541
Phone: (847) 726-0774
Fax: (847) 277-1549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.009231 Illinois

Profile Details

NPI number 1154044964
LBN Legal business name Brewer, Haley Jane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2022
Last updated Jan 10th, 2024 - about 2 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 1154044964 NPPES
Illinois Other MB7618789 DEA
Illinois MEDICAID 085009231 DEA

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