Mr. Jonathan W Brewer
Student in an Organized Health Care Education/Training Program in Lyme, Connecticut
1174265250- Practice location
- 121-2 Blood St, Lyme, CT 06371-3550
- Phone
- 619-366-6421
- Fax
- —
- Last updated
- April 10, 2022
Jonathan William Brewer is a Student in an Organized Health Care Education/Training Program based in Lyme, CT. Jonathan William Brewer practices in Lyme, CT. The NPI Number for Jonathan William Brewer is 1174265250. The current practice location address for Jonathan William Brewer is 121-2 Blood St, Lyme, CT 06371-3550 and can be reached out via phone at 619-366-6421.
Provider Profile Details
- NPI Number
- 1174265250
- Provider Name
- Jonathan William Brewer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 121-2 Blood St, Lyme, CT 06371-3550
- Phone Number
- 619-366-6421
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2022
- Last Update Date
- April 10, 2022
- Certification Date
- April 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121-2 Blood St
Lyme, CT 06371-3550 - City
- Lyme
- State
- Connecticut
- Zip
- 06371-3550
- Phone Number
- 619-366-6421
Provider Business Mailing Address Details
- Address
- 121-2 Blood St
Lyme, CT 06371-3550 - City
- Lyme
- State
- CT
- Zip
- 06371-3550
- Phone Number
- 619-366-6421
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Lyme, CT
View all Student in an Organized Health Care Education/Training Program providers in Lyme →Frequently Asked Questions
What is the NPI number of Mr. Jonathan W Brewer?
The NPI number of Mr. Jonathan W Brewer is 1174265250. It was assigned on April 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Jonathan W Brewer?
Mr. Jonathan W Brewer is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Mr. Jonathan W Brewer practice?
The practice location is 121-2 Blood St, Lyme, CT 06371-3550. The office can be reached at 619-366-6421 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174265250 directly on the NPPES registry website.