Brewer, Lon Russell

Brewer, Lon Russell is an individual health care provider with primary practice located at 1924 Nw 88Th Ct , Clive IA 50325-5463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brewer, Lon Russell can be contacted via phone (515) 237-3974.

Contact Information

Primary practice address
1924 Nw 88Th Ct Clive IA 50325-5463
Phone: (515) 237-3974
Fax: (515) 883-2692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01444 Iowa

Profile Details

NPI number 1326095399
LBN Legal business name Brewer, Lon Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 2nd, 2014 - about 11 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 1326095399 NPPES
Iowa MEDICAID 1326095399
Iowa MEDICAID 5084277
Iowa Other 080171037
Iowa Other 1326095399

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