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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1255400453 | NPPES |
Illinois | Other | 0001634718 | BCBS |
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