Individual provider · Type 1 NPI
Jonathan William Brewer
Student in an Organized Health Care Education/Training Program · Lyme, CT
NPI number
1174265250
Active
Practice location
121-2 Blood St
Lyme, CT 06371-3550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
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.
About NPI 1174265250
Jonathan William Brewer's National Provider Identifier is 1174265250, issued on Apr 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lyme, CT. The record was last updated on Apr 10, 2022.