Breall, Jeffrey A
Breall, Jeffrey A is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Breall, Jeffrey A can be contacted via phone (317) 962-0561.Contact Information
Primary practice address
1701 N Senate Blvd
Indianapolis IN 46202-1239
Phone: (317) 962-0561
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01052687 | Indiana |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 01052687A | Indiana |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01052687A | Indiana |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01052687A | Indiana |
Profile Details
NPI number | 1831153717 |
---|---|
LBN Legal business name | Breall, Jeffrey A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Jan 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831153717 | NPPES |
Indiana | Other | 60060231 | RAILROAD MEDICARE |
Indiana | Other | 060066286 | RAILROAD MEDICARE |
Indiana | MEDICAID | 200287770 | RAILROAD MEDICARE |
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