Breakstone, Louise

Breakstone, Louise is an individual health care provider with primary practice located at 610 Wyoming Ave , Kingston PA 18704-3702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Breakstone, Louise can be contacted via phone (570) 288-5441.

Contact Information

Primary practice address
610 Wyoming Ave Kingston PA 18704-3702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD031688E Pennsylvania

Profile Details

NPI number 1831126010
LBN Legal business name Breakstone, Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 3rd, 2021 - about 3 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 1831126010 NPPES
Pennsylvania MEDICAID 001136676

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