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NPI Code Detail

MEDICARE: DR. ERIN ELIZABETH BREWER M.D.

MEDICARE: DR. ERIN ELIZABETH BREWER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD.13403RLA
2207Q00000XFamily Medicine Physician13403LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245441955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN ELIZABETH BREWER M.D.
Provider Business Mailing Address
First Line : 1514 JEFFERSON HIGHWAY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121
Country : US
Telephone Number : 504-842-4000
Fax Number : 504-443-9520
Provider Business Practice Location Address
First Line : 2120 DRIFTWOOD BLVD.
Second Line :
City : KENNER
State : LA
Zip : 70065-3574
Country : US
Telephone Number : 504-443-9500
Fax Number : 504-443-9520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/03/2011

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