Dr. Garth I Brewer
Dentist - General Practice
417 W Madison St Suite 101b
Ottawa
, Illinois 61350-2836
Dr. Garth I Brewer
Dentist - General Practice
417 W Madison St Suite 101b
Ottawa
, Illinois 61350-2836
(815) 433-9025
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Garth I Brewer
- 417 W Madison St Suite 101b
- Ottawa, IL
- Zip : 61350-2836
- Fax : (815) 433-9025
- Phone : (815) 433-1258
Second Address
- Dr. Garth I Brewer
- 417 W Madison St Suite 101b
- Ottawa, IL
- Zip : 61350-2836
- Fax : (815) 433-9025
- Phone : (815) 433-1258
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Is Dr. Garth I Brewer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 019890 | IL |
| Y | 213EG0000X | General Practice | 019890 | IL |
National Provider Identifier
| NPI | 1003843798 |
|---|---|
| Provider Name | Dr. Garth I Brewer |
| First Address | Ottawa, IL 61350-2836 |
| Second Address | Ottawa, IL 61350-2836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.