Breitenwischer, Alex A

Breitenwischer, Alex A is an individual health care provider with primary practice located at 1500 S University Parks Dr , Waco TX 76706-1731. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Breitenwischer, Alex A can be contacted via phone (254) 710-8136.

Contact Information

Primary practice address
1500 S University Parks Dr Waco TX 76706-1731
Phone: (254) 710-8136
Fax: (254) 710-3377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT1619 Texas

Profile Details

NPI number 1447482559
LBN Legal business name Breitenwischer, Alex A
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2009
Last updated Mar 10th, 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 1447482559 NPPES
Other 1012168 NATA MEMBERSHIP
Other 2000002577 NATA MEMBERSHIP
Other AT4649 NATA MEMBERSHIP

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