Breehl, Marc Dennis
Breehl, Marc Dennis is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Breehl, Marc Dennis can be contacted via phone (318) 221-8411.Contact Information
Primary practice address
510 E Stoner Ave
Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax: (318) 990-5710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 206991 | Louisiana |
Profile Details
| NPI number | 1538124144 |
|---|---|
| LBN Legal business name | Breehl, Marc Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | May 26th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538124144 | NPPES |
| Texas | Other | 8G1548 | BCBSTX |
| Texas | MEDICAID | 175924301 | BCBSTX |
| Texas | MEDICAID | 100065320A | BCBSTX |
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