Breeden, Richard Lee

Breeden, Richard Lee is an individual health care provider with primary practice located at 2300 E 30Th St Ste B-102, Farmington NM 87401-8990. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Breeden, Richard Lee can be contacted via phone (505) 609-6790.

Contact Information

Primary practice address
2300 E 30Th St Ste B-102 Farmington NM 87401-8990
Phone: (505) 609-6790
Fax: (505) 599-4640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2000-14 New Mexico
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 2000-14 New Mexico

Profile Details

NPI number 1598785826
LBN Legal business name Breeden, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 11th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598785826 NPPES
New Mexico MEDICAID 00069631

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