Breen, Micheal Anthony
Breen, Micheal Anthony is an sole proprietor health care provider with primary practice located at 300 Longwood Ave Department Of Radiology, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Breen, Micheal Anthony can be contacted via phone (617) 355-6936.Contact Information
Primary practice address
300 Longwood Ave Department Of Radiology
Boston MA 02115-5724
Phone: (617) 355-6936
Fax: (617) 730-0549
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 266534 | Massachusetts |
Profile Details
NPI number | 1487095295 |
---|---|
LBN Legal business name | Breen, Micheal Anthony |
Credentials | MB BCH BAO |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 9th, 2013 |
Last updated | Jan 6th, 2017 - 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 | 1487095295 | NPPES |
Massachusetts | MEDICAID | 1200445 |
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