BRANT ALLEN BROUILLETTE NPI 1467167742

NPI Information

NPI: 1467167742
Provider Name: BRANT ALLEN BROUILLETTE
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
58396 HEMMINGER DR
GOSHEN, IN
ZIP 46528
Phone: (574) 536-2070
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Brant Allen Brouillette is a student in an organized health care education training program in Goshen, IN. 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. Brant Allen Brouillette NPI is 1467167742. 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:

58396 HEMMINGER DR
GOSHEN, IN
ZIP 46528-130
Phone: (574) 536-2070

The enumeration date for this NPI number is 1/20/2023 and was last updated on 1/20/2023.

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
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 5/5/2024

NPI Synchronization or Removal

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