Breckenridge, Charles William
Breckenridge, Charles William is an individual health care provider with primary practice located at 5917 Crosstown Expressway Sh 286 , Corpus Christi TX 78417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Breckenridge, Charles William can be contacted via phone (361) 854-0811.Contact Information
Primary practice address
5917 Crosstown Expressway Sh 286
Corpus Christi TX 78417
Phone: (361) 854-0811
Fax: (361) 806-5040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | J8212 | Texas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | J8212 | Texas |
Profile Details
NPI number | 1366454662 |
---|---|
LBN Legal business name | Breckenridge, Charles William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Feb 7th, 2023 - about last year |
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 | 1366454662 | NPPES |
Texas | MEDICAID | 1106783-02 |
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