Breedlove, Larry Wayne
Breedlove, Larry Wayne is an sole proprietor health care provider with primary practice located at 1906 N Juniata St , Hollidaysburg PA 16648-1908. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Breedlove, Larry Wayne can be contacted via phone (814) 695-2984.Contact Information
Primary practice address
1906 N Juniata St
Hollidaysburg PA 16648-1908
Phone: (814) 695-2984
Fax: (814) 695-2110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW023022 | Pennsylvania |
Profile Details
| NPI number | 1326179474 |
|---|---|
| LBN Legal business name | Breedlove, Larry Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326179474 | NPPES |
| California | Other | SYC7165 | STAFF CODE |
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