Breitigam, Tyler Daniel
Breitigam, Tyler Daniel is an individual health care provider with primary practice located at 540 Perdew Ave Ste C , Ridgecrest CA 93555-2596. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Breitigam, Tyler Daniel can be contacted via phone (760) 446-3611.Contact Information
Primary practice address
540 Perdew Ave Ste C
Ridgecrest CA 93555-2596
Phone: (760) 446-3611
Fax: (760) 446-5811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 41951 | California |
Profile Details
| NPI number | 1689071326 |
|---|---|
| LBN Legal business name | Breitigam, Tyler Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Nov 24th, 2014 - about 11 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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