Breske, Nathan Lee

Breske, Nathan Lee is an individual health care provider with primary practice located at 1516 4Th St Ne , Watertown SD 57201-6824. 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. Breske, Nathan Lee can be contacted via phone (605) 753-0430.

Contact Information

Primary practice address
1516 4Th St Ne Watertown SD 57201-6824
Phone: (605) 753-0430
Fax: (605) 753-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1235135765
LBN Legal business name Breske, Nathan Lee
Credentials DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 10th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235135765 NPPES
South Dakota Other 4995013 BLUE CROSS
South Dakota MEDICAID 5834740 BLUE CROSS

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