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
Fax: (617) 730-0549
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487095295 NPPES
Massachusetts MEDICAID 1200445

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