| Doctor Name: | BRETT J.M. FLYNN |
| NPI Number: | 1801012745 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EMT-P , ATC, CSCS |
| License Number: | 002141 |
| Business Practice Address: | 69 Lyme St # 1 Old Lyme, CT - 063712335 |
| Business Phone Number: | 8604341652 |
| Business Fax Number: | |
| Mailing Address: | Po Box 672, OLD LYME |
| State: | CT |
| Postal Code: | 063710672 |
| Phone Number: | 8604341701 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 002141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |