Breckenridge, Jeffrey D

Breckenridge, Jeffrey D is an individual health care provider with primary practice located at 925 S Nebraska St , Marion IN 46953-1874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Breckenridge, Jeffrey D can be contacted via phone (765) 664-7492.

Contact Information

Primary practice address
925 S Nebraska St Marion IN 46953-1874
Phone: (765) 664-7492
Fax: (765) 664-4356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01045525A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045525A Indiana

Profile Details

NPI number 1982672069
LBN Legal business name Breckenridge, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 20th, 2014 - about 10 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 1982672069 NPPES
Other 000000033416 MPLAN
Other 000000382235 MPLAN
MEDICAID 104924162 MPLAN
MEDICAID 2619983 MPLAN
MEDICAID 200112530 MPLAN

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