Breitweg, Jessica

Breitweg, Jessica is an individual health care provider with primary practice located at 4621 Sunrise Hwy , Bohemia NY 11716-4605. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Breitweg, Jessica can be contacted via phone (631) 567-1061.

Contact Information

Primary practice address
4621 Sunrise Hwy Bohemia NY 11716-4605
Phone: (631) 567-1061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 067330 New York

Profile Details

NPI number 1629668124
LBN Legal business name Breitweg, Jessica
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - 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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