Breazeale, Dana Theis
Breazeale, Dana Theis is an individual health care provider with primary practice located at 3200 Vine Street , Cincinnati OH 45208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Breazeale, Dana Theis can be contacted via phone (513) 861-3100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN 862 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN268214-COA08862 | Ohio |
Profile Details
| NPI number | 1992777932 |
|---|---|
| LBN Legal business name | Breazeale, Dana Theis |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992777932 | NPPES |
| South Carolina | MEDICAID | NP0533 |
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