Breitborde, Nicholas J.K.

Breitborde, Nicholas J.K. is an individual health care provider with primary practice located at 1670 Upham Dr Ste 130, Columbus OH 43210-1250. He recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as his primary health care specialty. Breitborde, Nicholas J.K. can be contacted via phone (614) 293-8234.

Contact Information

Primary practice address
1670 Upham Dr Ste 130 Columbus OH 43210-1250
Phone: (614) 293-8234
Fax: (614) 293-8552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 4063 Arizona
Behavioral Health & Social Service Providers / Family 103TF0000X 7267 Ohio

Profile Details

NPI number 1225363849
LBN Legal business name Breitborde, Nicholas J.K.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Dec 28th, 2020 - about 4 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 1225363849 NPPES
Ohio MEDICAID 0132375

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