Baker, Breanne Michelle

Baker, Breanne Michelle is an individual health care provider with primary practice located at 2708 Ne 14Th St Suite 5, Pompano Beach FL 33062-3565. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Baker, Breanne Michelle can be contacted via phone (888) 880-9270.

Contact Information

Primary practice address
2708 Ne 14Th St Suite 5 Pompano Beach FL 33062-3565
Phone: (888) 880-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1083957419
LBN Legal business name Baker, Breanne Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2013
Last updated Apr 4th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083957419 NPPES
Arizona MEDICAID A66060115

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