Abbott, Breanne M
Abbott, Breanne M is an individual health care provider with primary practice located at 1 Leo Moss Dr Suite 4308, Olean NY 14760-1100. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Abbott, Breanne M can be contacted via phone (716) 373-8040.Contact Information
Primary practice address
1 Leo Moss Dr Suite 4308
Olean NY 14760-1100
Phone: (716) 373-8040
Fax: (716) 701-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1568712917 |
|---|---|
| LBN Legal business name | Abbott, Breanne M |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Sep 13th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568712917 | NPPES |
| New York | MEDICAID | 00635098 |
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