Breedlove, Brent Clayton
Breedlove, Brent Clayton is an sole proprietor health care provider with primary practice located at 1510 Nc Highway 68 N , Oak Ridge NC 27310-9733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Breedlove, Brent Clayton can be contacted via phone (336) 644-0111.Contact Information
Primary practice address
1510 Nc Highway 68 N
Oak Ridge NC 27310-9733
Phone: (336) 644-0111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 001011324 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-11324 | North Carolina |
Profile Details
NPI number | 1417525304 |
---|---|
LBN Legal business name | Breedlove, Brent Clayton |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2021 |
Last updated | Jul 20th, 2021 - about 3 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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