Jordan David Barnard
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Woodbury, CT
NPI 1205116191 · NPPES record last updated Aug 23, 2011
Key facts
- NPI
- 1205116191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 126 Sherman Hill Rd Apt A12
Woodbury, CT 06798-3664 - Phone
- (203) 263-2162
- NPI assigned
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
126 Sherman Hill Rd Apt A12
Woodbury, CT 06798-3664
Mailing address
126 Sherman Hill Rd Apt A12
Woodbury, CT 06798-3664
Phone (203) 263-2162
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All providers in Woodbury, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.