Bretta, Leigh Alice

Bretta, Leigh Alice is an individual health care provider with primary practice located at 417 State St Webber West Suite 141, Bangor ME 04401-6630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bretta, Leigh Alice can be contacted via phone (207) 973-4670.

Contact Information

Primary practice address
417 State St Webber West Suite 141 Bangor ME 04401-6630
Fax: (207) 973-4661
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016890 Maine

Profile Details

NPI number 1891812699
LBN Legal business name Bretta, Leigh Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated May 15th, 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 1891812699 NPPES
Maine MEDICAID 431955399
Maine Other 1288920
Maine Other 061496

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