Breckenridge, Angela J

Breckenridge, Angela J is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Breckenridge, Angela J can be contacted via phone (573) 302-2764.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (573) 302-2764
Fax: (573) 302-2767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 38154 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2014028840 Missouri

Profile Details

NPI number 1801976261
LBN Legal business name Breckenridge, Angela J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 12th, 2021 - 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 1801976261 NPPES
Other 2001 INTERNAL ID-MOTOR VEHICLE ID

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