MR. JONATHAN WILLIAM BREWER NPI 1174265250

NPI Information

  • NPI: 1174265250
  • Provider Name: MR. JONATHAN WILLIAM BREWER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 121-2 BLOOD ST
    LYME, CT
    ZIP 06371
  • Phone: (619) 366-6421

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NPI Details

MR. Jonathan William Brewer is a student in an organized health care education training program in Lyme, CT. The provider is 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. MR. Jonathan William Brewer NPI is 1174265250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121-2 BLOOD ST
LYME, CT
ZIP 06371-550
Phone: (619) 366-6421

The enumeration date for this NPI number is 4/10/2022 and was last updated on 4/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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