Breidenbaugh, Marc Philip

Breidenbaugh, Marc Philip is an individual health care provider with primary practice located at 9920 Independence Park Dr Ste 100 , Henrico VA 23233-1487. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Breidenbaugh, Marc Philip can be contacted via phone (804) 285-7420.

Contact Information

Primary practice address
9920 Independence Park Dr Ste 100 Henrico VA 23233-1487
Phone: (804) 285-7420
Fax: (804) 285-7454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101274577 Virginia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101274577 Virginia

Profile Details

NPI number 1700346764
LBN Legal business name Breidenbaugh, Marc Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2019
Last updated Jul 18th, 2024 - about 5 months 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 1700346764 NPPES
Virginia Other 0101274577 VA LICENSE

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