Brewer, Holly
Brewer, Holly is an individual health care provider with primary practice located at 315 W 15Th St Suite 103, Liberal KS 67901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brewer, Holly can be contacted via phone (620) 624-0729.Contact Information
Primary practice address
315 W 15Th St Suite 103
Liberal KS 67901
Phone: (620) 624-0729
Fax: (620) 624-2569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 115354 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 75770 | Kansas |
Profile Details
| NPI number | 1235468679 |
|---|---|
| LBN Legal business name | Brewer, Holly |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Jul 27th, 2018 - about 8 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 | 1235468679 | NPPES |
| Kansas | MEDICAID | 200966390A |
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