Breene, Dennis P
Breene, Dennis P is an individual health care provider with primary practice located at 2070 Pleasant Hill Rd Ste 100 , Duluth GA 30096-4659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Breene, Dennis P can be contacted via phone (770) 622-2020.Contact Information
Primary practice address
2070 Pleasant Hill Rd Ste 100
Duluth GA 30096-4659
Phone: (770) 622-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036089915 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 84184 | Georgia |
Profile Details
| NPI number | 1073603130 |
|---|---|
| LBN Legal business name | Breene, Dennis P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 9th, 2019 - about 5 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 | 1073603130 | NPPES |
| Illinois | Other | 012783 | HEALTH ALLIANCE MEDICAL |
| Illinois | Other | 9815737 | HEALTH ALLIANCE MEDICAL |
| Illinois | MEDICAID | 036089915 | HEALTH ALLIANCE MEDICAL |
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