Breazeale, Bretton Howard

Breazeale, Bretton Howard is an individual health care provider with primary practice located at 2900 Daggett Ave , Klamath Falls OR 97601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Breazeale, Bretton Howard can be contacted via phone (541) 205-3974.

Contact Information

Primary practice address
2900 Daggett Ave Klamath Falls OR 97601
Phone: (541) 205-3974
Fax: (541) 205-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD26555 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD26555 Oregon

Profile Details

NPI number 1699883785
LBN Legal business name Breazeale, Bretton Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jun 23rd, 2014 - about 11 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 1699883785 NPPES
California MEDICAID XPY204768
California MEDICAID 213057

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