Breiter, Heather Denise
Breiter, Heather Denise is an sole proprietor health care provider with primary practice located at 2129 Skyline Dr , Fort Worth TX 76114-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Breiter, Heather Denise can be contacted via phone (800) 257-8715.Contact Information
Primary practice address
2129 Skyline Dr
Fort Worth TX 76114-1924
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31825 | Texas |
Profile Details
| NPI number | 1679511794 |
|---|---|
| LBN Legal business name | Breiter, Heather Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Feb 19th, 2010 - about 15 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 | 1679511794 | NPPES |
| Texas | MEDICAID | 167469901 | |
| Texas | Other | 86932A | |
| Texas | Other | P00163676 |
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