Noah Demers Aubin
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · North Grosvenordale, CT
NPI 1699212845 · NPPES record last updated Jan 26, 2017
Key facts
- NPI
- 1699212845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 112 Rich Road Ext
North Grosvenordale, CT 06255-1306 - Phone
- (860) 753-0006
- NPI assigned
- Jan 26, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
112 Rich Road Ext
North Grosvenordale, CT 06255-1306
Mailing address
112 Rich Road Ext
North Grosvenordale, CT 06255-1306
Phone (860) 753-0006
Other providers in North Grosvenordale, CT
- Behavior Services of New England
- Kailey Bennett
- Nita Chatterjee
- Natalee Giselle Cifuentes
- Tanya Lee Clark
All providers in North Grosvenordale, 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 Jan 26, 2017. 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.