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John Albert Brecht IV
Student in an Organized Health Care Education/Training Program in Granville, West Virginia
NPI 1255895421

John Albert Brecht IV is a Student in an Organized Health Care Education/Training Program based in Baldwinsville, WV. John Albert Brecht IV practices in Granville, WV. The NPI Number for John Albert Brecht IV is 1255895421 and holds a License No. (West Virginia).

The current practice location address for John Albert Brecht IV is 2040 Gyorko Drive, Granville, WV and can be reached out via phone at 469-855-7059.

Location: 2040 Gyorko Drive, Granville, WV, 13027-8249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255895421
Provider Name
John Albert Brecht IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
2040 Gyorko Drive, Granville, WV, 13027-8249
Phone Number
469-855-7059
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2040 Gyorko Drive
City
Granville
State
West Virginia
Zip
26534
Phone Number
469-855-7059
Fax Number
person
Provider Business Mailing Address Details
Address
2040 Gyorko Drive
City
Granville
State
West Virginia
Zip
26534
Phone Number
469-855-7059
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.
(West Virginia)
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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