Alleman, Breckglyn Rea
Alleman, Breckglyn Rea is an individual health care provider with primary practice located at 3485 W 10Th St Ste C , Greeley CO 80634-5368. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Alleman, Breckglyn Rea can be contacted via phone (970) 353-4746.Contact Information
Primary practice address
3485 W 10Th St Ste C
Greeley CO 80634-5368
Phone: (970) 353-4746
Fax: (970) 353-4751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9667 | Colorado |
Profile Details
NPI number | 1437325826 |
---|---|
LBN Legal business name | Alleman, Breckglyn Rea |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2008 |
Last updated | Jun 12th, 2019 - about 5 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 | 1437325826 | NPPES |
Colorado | Other | DEN.00009667 | CO OPTOMETRY LICENSE |
Colorado | MEDICAID | 9000170502 | CO OPTOMETRY LICENSE |
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