Individual
DR. BEATRICE ALEXANDRIA NELSON BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4844 BROADWAY, GARY, IN 46408-4509
(219) 985-2760
Mailing address
2377 E 70TH PL, CHICAGO, IL 60649-2263
(773) 851-6379
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01034536
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202740A
—
IN
Enumeration date
03/29/2007
Last updated
04/15/2011
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