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 |
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