Sara Beth Brewer
Individual provider Active NPI Contractor · West Plains, MO
NPI 1962742825 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1962742825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 408 Washington Ave
Suite 107
West Plains, MO 65775-3432 - Phone
- (417) 255-8782
- Fax
- (417) 255-8799
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
408 Washington Ave
Suite 107
West Plains, MO 65775-3432
Mailing address
4706 Private Road 2326
Pomona, MO 65789-9518
Phone (417) 372-0001
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. 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.