Breakiron, Garret Glenn

Breakiron, Garret Glenn is an individual health care provider with primary practice located at 665 Cherry Tree Ln , Uniontown PA 15401-8947. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Breakiron, Garret Glenn can be contacted via phone (724) 437-1910.

Contact Information

Primary practice address
665 Cherry Tree Ln Uniontown PA 15401-8947
Fax: (724) 437-3227
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC002722L Pennsylvania

Profile Details

NPI number 1467508424
LBN Legal business name Breakiron, Garret Glenn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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 1467508424 NPPES
Pennsylvania MEDICAID 00965819

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