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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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