Breed, Charles Redmond

Breed, Charles Redmond is an individual health care provider with primary practice located at 2055 E Southern Ave Suite F, Tempe AZ 85282-7507. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Breed, Charles Redmond can be contacted via phone (480) 897-8484.

Contact Information

Primary practice address
2055 E Southern Ave Suite F Tempe AZ 85282-7507
Phone: (480) 897-8484
Fax: (480) 897-8631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10034 Arizona

Profile Details

NPI number 1104813872
LBN Legal business name Breed, Charles Redmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Sep 27th, 2007 - about 18 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 1104813872 NPPES
Arizona Other 628739 VA BCBS
Arizona Other 00004310 VA BCBS
Arizona Other 1Z1867 VA BCBS
Arizona MEDICAID 207713 VA BCBS

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