Breuggeman, Eric Joel

Breuggeman, Eric Joel is an individual health care provider with primary practice located at 1443 Lakeland Hills Blvd , Lakeland FL 33805-3206. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Breuggeman, Eric Joel can be contacted via phone (863) 686-6200.

Contact Information

Primary practice address
1443 Lakeland Hills Blvd Lakeland FL 33805-3206
Phone: (863) 686-6200
Fax: (863) 686-6339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2891 Florida

Profile Details

NPI number 1831159136
LBN Legal business name Breuggeman, Eric Joel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 8th, 2012 - about 12 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 1831159136 NPPES
Florida Other 1861662546 GROUP NPI
Florida MEDICAID 340177400 GROUP NPI

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