Mr. Douglas Wayne Brewer
Rehabilitation Chiropractor
280 E Corporate Dr Suite 130
Meridian
, Idaho 83642-2951
Mr. Douglas Wayne Brewer
Rehabilitation Chiropractor
280 E Corporate Dr Suite 130
Meridian
, Idaho 83642-2951
(208) 846-8400
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Mr. Douglas Wayne Brewer
- 280 E Corporate Dr Suite 130
- Meridian, ID
- Zip : 83642-2951
- Phone : (208) 846-8400
Second Address
- Mr. Douglas Wayne Brewer
- 280 E Corporate Dr Suite 130
- Meridian, ID
- Zip : 83642-2951
- Phone : (208) 846-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CH1A1123 | ID |
National Provider Identifier
| NPI | 1326128224 |
|---|---|
| Provider Name | Mr. Douglas Wayne Brewer |
| First Address | Meridian, ID 83642-2951 |
| Second Address | Meridian, ID 83642-2951 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| 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.