Individual provider · Type 1 NPI

Brian Enloe

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1073992749 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5400

Mailing address

3999 Richmond Rd
Beachwood, OH 44122-6046

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMD470436 (PA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1073992749

Brian Enloe's National Provider Identifier is 1073992749, issued on May 27, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 15, 2021.