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Jacob Bryan Horton
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1487282422

Jacob Bryan Horton is a Student in an Organized Health Care Education/Training Program based in Houston, MA. Jacob Bryan Horton practices in Brockton, MA. The NPI Number for Jacob Bryan Horton is 1487282422 and holds a License No. (Massachusetts).

The current practice location address for Jacob Bryan Horton is 940 Belmont Street, Psychiatry 116A7, Brockton, MA and can be reached out via phone at 774-826-2458.

Location: 940 Belmont Street, Psychiatry 116A7, Brockton, MA, 77054-3072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487282422
Provider Name
Jacob Bryan Horton
Credential
Provider Entity Type
Individual
Gender
Male
Address
940 Belmont Street, Psychiatry 116A7, Brockton, MA, 77054-3072
Phone Number
774-826-2458
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Belmont Street, Psychiatry 116A7
City
Brockton
State
Massachusetts
Zip
02301
Phone Number
774-826-2458
Fax Number
person
Provider Business Mailing Address Details
Address
940 Belmont Street, Psychiatry 116A7
City
Brockton
State
Massachusetts
Zip
02301
Phone Number
774-826-2458
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.
(Massachusetts)
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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