Breazeale, Daniel Robert

Breazeale, Daniel Robert is an individual health care provider with primary practice located at 2615 Lake Dr Suite 201, Raleigh NC 27607-6693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Breazeale, Daniel Robert can be contacted via phone (919) 781-9555.

Contact Information

Primary practice address
2615 Lake Dr Suite 201 Raleigh NC 27607-6693
Phone: (919) 781-9555
Fax: (919) 781-1070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0069960 Maryland

Profile Details

NPI number 1083686463
LBN Legal business name Breazeale, Daniel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 14th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083686463 NPPES
Maryland MEDICAID 0329801 00

Popular Providers