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MR. JONATHAN WILLIAM BREWER
NPI 1174265250
Student in an Organized Health Care Education/Training Program in Lyme, CT

Active since April 10, 2022
121-2 BLOOD ST, LYME, CT 06371(619) 366-6421 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jonathan William Brewer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN WILLIAM BREWER (NPI 1174265250) is an individual student in an organized health care education/training program in Lyme, Connecticut and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1174265250
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JONATHAN WILLIAM BREWER
Location Address121-2 BLOOD STLyme, CT 06371-3550
Mailing Address121-2 Blood StLyme, CT 06371-3550 · (619) 366-6421
Phone(619) 366-6421
Sole ProprietorYes
Enumeration DateApril 10, 2022
NPPES CertifiedApril 10, 2022
✔ NPI 1174265250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
121-2 BLOOD ST, Lyme, CT 06371
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Brewer's NPI number?

The NPI number for Jonathan Brewer is 1174265250. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Jonathan Brewer located?

Jonathan Brewer practices at 121-2 Blood St, Lyme, CT 06371. The listed phone number is (619) 366-6421.

What is Jonathan Brewer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jonathan Brewer was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.