Breitbach, Anthony L

Breitbach, Anthony L is an individual health care provider with primary practice located at 1117 Emerson St , Evanston IL 60201-3131. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Breitbach, Anthony L can be contacted via phone (847) 869-1772.

Contact Information

Primary practice address
1117 Emerson St Evanston IL 60201-3131
Phone: (847) 869-1772
Fax: (847) 869-2733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38010236 Illinois

Profile Details

NPI number 1255400453
LBN Legal business name Breitbach, Anthony L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Nov 10th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255400453 NPPES
Illinois Other 0001634718 BCBS

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