Brimmer, Kory John

Brimmer, Kory John is an individual health care provider with primary practice located at 2415 E Yandell Dr Suite B, El Paso TX 79903-3616. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brimmer, Kory John can be contacted via phone (915) 577-0030.

Contact Information

Primary practice address
2415 E Yandell Dr Suite B El Paso TX 79903-3616
Phone: (915) 577-0030
Fax: (915) 533-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 699797 Texas

Profile Details

NPI number 1104827062
LBN Legal business name Brimmer, Kory John
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1104827062 NPPES
Texas MEDICAID 169090102
Texas Other 039040

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