Brewer, Karin Kay

Brewer, Karin Kay is an sole proprietor health care provider with primary practice located at 1319 Summit Ave , Fort Worth TX 76102-4431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brewer, Karin Kay can be contacted via phone (817) 569-5050.

Contact Information

Primary practice address
1319 Summit Ave Fort Worth TX 76102-4431
Phone: (817) 569-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 723109 Texas

Profile Details

NPI number 1114357027
LBN Legal business name Brewer, Karin Kay
Credentials MSN, APRN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2013
Last updated Sep 26th, 2017 - about 9 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 1114357027 NPPES
Other 331835402 MEDICAID CSHCN NUMBER
MEDICAID 331835401 MEDICAID CSHCN NUMBER
Other 8206NJ MEDICAID CSHCN NUMBER
Other 341974YRK5 MEDICAID CSHCN NUMBER

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