Breckwoldt, William L
Breckwoldt, William L is an individual health care provider with primary practice located at 955 Main Street Suite G2A, Winchester MA 01890-1961. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Breckwoldt, William L can be contacted via phone (781) 729-2020.Contact Information
Primary practice address
955 Main Street Suite G2A
Winchester MA 01890-1961
Phone: (781) 729-2020
Fax: (781) 729-6846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 70797 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 70797 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 70797 | Massachusetts |
Profile Details
| NPI number | 1306814272 |
|---|---|
| LBN Legal business name | Breckwoldt, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 28th, 2020 - about 5 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 | 1306814272 | NPPES |
| Massachusetts | MEDICAID | 3053318 |
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