Breda, John A

Breda, John A is an individual health care provider with primary practice located at 2181 Orange Ave E , Tallahassee FL 32311-6144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Breda, John A can be contacted via phone (617) 877-0025.

Contact Information

Primary practice address
2181 Orange Ave E Tallahassee FL 32311-6144
Phone: (617) 877-0025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 155371 Massachusetts

Profile Details

NPI number 1508835653
LBN Legal business name Breda, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508835653 NPPES
Massachusetts Other 0402531 UNITED HEALTHCARE
Massachusetts Other J19984 UNITED HEALTHCARE
Massachusetts MEDICAID 3192121 UNITED HEALTHCARE

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