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Mr. Jonathan William Brewer
Student in an Organized Health Care Education/Training Program in Lyme, Connecticut
NPI 1174265250

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 and holds a License No. (Connecticut).

The current practice location address for Jonathan William Brewer is 121-2 Blood St, Lyme, CT and can be reached out via phone at 619-366-6421.

Location: 121-2 Blood St, Lyme, CT, 06371-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174265250
Provider Name
Jonathan William Brewer
Credential
Provider Entity Type
Individual
Gender
Male
Address
121-2 Blood St, Lyme, CT, 06371-3550
Phone Number
619-366-6421
Fax Number
Provider Enumeration Date
04/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121-2 Blood St
City
Lyme
State
Connecticut
Zip
06371-3550
Phone Number
619-366-6421
Fax Number
person
Provider Business Mailing Address Details
Address
121-2 Blood St
City
Lyme
State
Connecticut
Zip
06371-3550
Phone Number
619-366-6421
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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