Breving, Joel
Breving, Joel is an sole proprietor health care provider with primary practice located at 2924 Knight St Ste 410 , Shreveport LA 71105-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Breving, Joel can be contacted via phone (859) 640-1727.Contact Information
Primary practice address
2924 Knight St Ste 410
Shreveport LA 71105-2413
Phone: (859) 640-1727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 308040 | Louisiana |
Profile Details
| NPI number | 1275742181 |
|---|---|
| LBN Legal business name | Breving, Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275742181 | NPPES |
| Louisiana | Other | 017683 | PMP |
| Louisiana | Other | 051144 | PMP |
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