Breen, James R
Breen, James R is an individual health care provider with primary practice located at 1 Leo Moss Dr Suite 4308, Olean NY 14760-1100. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Breen, James R can be contacted via phone (716) 373-8040.Contact Information
Primary practice address
1 Leo Moss Dr Suite 4308
Olean NY 14760-1100
Phone: (716) 373-8040
Fax: (716) 373-4820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 073309-1 | New York |
Profile Details
| NPI number | 1851596316 |
|---|---|
| LBN Legal business name | Breen, James R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Sep 12th, 2008 - about 16 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 | 1851596316 | NPPES |
| New York | MEDICAID | 00635098 |
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