Jeremiah Brewer, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Mena, AR
NPI 1710197371 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1710197371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1210 Dequeen St
Mena, AR 71953-4132 - Phone
- (479) 394-3200
- Fax
- (479) 394-3205
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1210 Dequeen St
Mena, AR 71953-4132
Mailing address
1210 Dequeen St
Mena, AR 71953-4132
Phone (479) 394-3200
Other providers in Mena, AR
- Bill J Bell
- Benton Senior Living, LLC
- Mary A Birtcher
- Boone Home Healthcare, Inc.
- Brandi Titsworth LPC, PLLC
- Ocean Miranda Brewer
- Kassidy Rose Brown
- Gary Douglas Buckley Jr.
- Kaitlyn Bunch
- Anthony R. Burton
All providers in Mena, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.