Brecheisen, Damon Thomas

Brecheisen, Damon Thomas is an individual health care provider with primary practice located at 6 Boniface Dr , Pine Bush NY 12566-7050. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Brecheisen, Damon Thomas can be contacted via phone (845) 567-2480.

Contact Information

Primary practice address
6 Boniface Dr Pine Bush NY 12566-7050
Phone: (845) 567-2480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 15000012029 New York
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 14000014162 New York

Profile Details

NPI number 1578774857
LBN Legal business name Brecheisen, Damon Thomas
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Mar 7th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578774857 NPPES
New York MEDICAID 02700250

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