Breckenridge, Robert Joseph
Breckenridge, Robert Joseph is an sole proprietor health care provider with primary practice located at 401 E Oklahoma Ave , Enid OK 73701-5800. He recently has 8 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Breckenridge, Robert Joseph can be contacted via phone (580) 233-4300.Contact Information
Primary practice address
401 E Oklahoma Ave
Enid OK 73701-5800
Phone: (580) 233-4300
Fax: (580) 350-6401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207RI0001X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207RI0001X | 37D2190466 | Oklahoma |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 37D2190466 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2081N0008X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 1794 | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1794 | Oklahoma |
Profile Details
| NPI number | 1790747350 |
|---|---|
| LBN Legal business name | Breckenridge, Robert Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 19th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790747350 | NPPES |
| Other | 110230825 | RR MEDICARE | |
| MEDICAID | 100257360D | RR MEDICARE | |
| Other | 37D2190466 | RR MEDICARE |
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