Beres, Breanne N
Beres, Breanne N is an individual health care provider with primary practice located at 1475 W Grand Ave , Port Washington WI 53074-2074. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beres, Breanne N can be contacted via phone (262) 268-5100.Contact Information
Primary practice address
1475 W Grand Ave
Port Washington WI 53074-2074
Phone: (262) 268-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13882 | Wisconsin |
Profile Details
| NPI number | 1396239182 |
|---|---|
| LBN Legal business name | Beres, Breanne N |
| Credentials | DPT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2018 |
| Last updated | Jan 4th, 2022 - about 2 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 | 1396239182 | NPPES |
| Wisconsin | MEDICAID | 06152018736054 |
Popular Providers
-
Gustafson, Eva Marie
7830 State Highway 13 , Port Wing WI 54865-4721 -
Yunto, Brittney Nichole
1119 N Wisconsin St , Port Washington WI 53074-1209 -
Klug, Kimberly Burns
1317 W Grand Ave Lake Hills Medical Complex, Port Washington WI 53074 -
Santa Lucia, Michael J
1655 Cane Bay Blvd Ste B , Summerville SC 29486-2397 -
Petersen, Cheryl M
1085 Niagara Ln , Port Washington WI 53074-1766 -
Zimmerman, Brianna Rae
1119 N Wisconsin St , Port Washington WI 53074-1209 -
Kern, Maja
1475 W Grand Ave , Port Washington WI 53074-2074 -
Ettmayer, Anthony Jack
1119 N Wisconsin St , Port Washington WI 53074-1209