Bolivar, Breanna Keenan

Bolivar, Breanna Keenan is an individual health care provider with primary practice located at 119 Hendersonville Rd , Asheville NC 28803-2868. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Bolivar, Breanna Keenan can be contacted via phone (828) 771-5500.

Contact Information

Primary practice address
119 Hendersonville Rd Asheville NC 28803-2868
Phone: (828) 771-5500
Fax: (828) 257-4750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 2014-02009 North Carolina
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2014-02009 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2014-02009 North Carolina

Profile Details

NPI number 1477817013
LBN Legal business name Bolivar, Breanna Keenan
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated Jun 23rd, 2020 - about 6 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 1477817013 NPPES
North Carolina Other NCT347A PTAN
North Carolina MEDICAID 1477817013 PTAN

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