John Brandt ELI

NPI 1366575870 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1366575870
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
PAWTUCKET RI, 02860-6121, US
Phone (401) 725-7922
Fax (401) 726-8834
Business Location
PO BOX 40937
PROVIDENCE RI, 02940-0937, US
Phone (401) 725-7922
Fax (401) 726-8834
Taxonomy Code 171M00000X
License State Rhode Island
License Number ELI-0042
Remove 1366575870 NPI Number

According to our database, Mr. John Brandt ELI NPI is 1366575870, taxonomy code is 171M00000X and license number is ELI-0042, license state is located at Rhode Island. John Brandt ELI physically located at 33 Lafayette St, Pawtucket RI, 02860-6121. NPI Number John Brandt ELI has the Individual type.

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1366575870 NPI number is provided on an as is basis without warranty of any kind. 1366575870 is maintained by the National Plan & Provider Enumeration System. The contents of John Brandt ELI are for informational purposes only.