Breitenbach, Tina

Breitenbach, Tina is an individual health care provider with primary practice located at 1012 N Green St , Mchenry IL 60050-5721. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Breitenbach, Tina can be contacted via phone (815) 363-3087.

Contact Information

Primary practice address
1012 N Green St Mchenry IL 60050-5721
Phone: (815) 363-3087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1841775145
LBN Legal business name Breitenbach, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2018
Last updated Oct 2nd, 2018 - about 6 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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