Breitenfeld, Michael L
Breitenfeld, Michael L is an individual health care provider with primary practice located at 105 4Th Avenue , Shell L Ake WI 54871-0336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Breitenfeld, Michael L can be contacted via phone (715) 468-2711.Contact Information
Primary practice address
105 4Th Avenue
Shell L Ake WI 54871-0336
Phone: (715) 468-2711
Fax: (715) 468-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03-023 | Wisconsin |
Profile Details
| NPI number | 1568500650 |
|---|---|
| LBN Legal business name | Breitenfeld, Michael L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1568500650 | NPPES |
| Wisconsin | MEDICAID | 42906200 |
Popular Providers
-
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Braham, Jeffery T
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Wildenberg, Hope A
105 E Sydnor Ave Ste 100 , Ridgecrest CA 93555-5546 -
Haesemeyer, Allan Jay
113 4Th Avenue , Shell Lake WI 54871 -
Penner, Timothy M.
609 Liberty St , Clay Center KS 67432-1564 -
Cancino, Gwenneth O
115 W Bel Air Avenue , Aberdeen MD 21001-3221 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Brehio, Teri L
15 Antrim Rd Hdfh, Hillsboro NH 03244-5204