Breasure, Keith J

Breasure, Keith J is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Breasure, Keith J can be contacted via phone (802) 371-4316.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Phone: (802) 371-4316
Fax: (802) 371-4579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG0000383 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0096152 Vermont

Profile Details

NPI number 1326097767
LBN Legal business name Breasure, Keith J
Credentials MSN,NP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 12th, 2015 - about 9 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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