Breedlove, Jennifer J

Breedlove, Jennifer J is an individual health care provider with primary practice located at 1005 Bellefontaine Ave Ste 350 , Lima OH 45804-2885. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Breedlove, Jennifer J can be contacted via phone (419) 998-8297.

Contact Information

Primary practice address
1005 Bellefontaine Ave Ste 350 Lima OH 45804-2885
Phone: (419) 998-8297
Fax: (419) 226-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 34.009127 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.009127 Ohio

Profile Details

NPI number 1528256914
LBN Legal business name Breedlove, Jennifer J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Dec 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528256914 NPPES
Ohio MEDICAID 0210254

Popular Providers