Individual
DR. HERBERT LEON BREWER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9067 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1230
(901) 270-7420
Mailing address
9067 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1230
(901) 270-7420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
88-0441715
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141
PT
MS
01
—
18446
BCBS OF MS
MS
01
—
709
STATE OF MS
MS
Enumeration date
04/16/2009
Last updated
04/16/2009
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