Mr. Jonathan William Brewer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174265250

Mr. Jonathan William Brewer is a Student in an Organized Health Care Education/Training Program in Lyme, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since: 2022

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Practice location Address checks out

121-2 Blood St
Lyme, CT 06371-3550
Phone: (619) 366-6421

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X

Record details

NPI number	1174265250
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 10, 2022
Last updated in NPPES	April 10, 2022
Certification date	April 10, 2022
Mailing address	121-2 Blood St, Lyme, CT 06371-3550