Brett J.M. Flynn, EMT-P , ATC, CSCS
Individual provider Active NPI Paramedic · Old Lyme, CT
NPI 1801012745 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801012745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 002141 (CT)
- Practice address
- 69 Lyme St # 1
Old Lyme, CT 06371-2335 - Phone
- (860) 434-1652
- NPI assigned
- Apr 18, 2007
- 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
- Credentials
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002141 | CT | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 002141 | CT | Yes |
Addresses
Primary practice location
69 Lyme St # 1
Old Lyme, CT 06371-2335
Mailing address
PO Box 672
Old Lyme, CT 06371-0672
Phone (860) 434-1701
Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.