Dove, Breanna Dawn

Dove, Breanna Dawn is an individual health care provider with primary practice located at 4288 W Crest View Ln , La Porte IN 46350-2124. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Dove, Breanna Dawn can be contacted via phone (219) 575-9058.

Contact Information

Primary practice address
4288 W Crest View Ln La Porte IN 46350-2124
Phone: (219) 575-9058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1649964628
LBN Legal business name Dove, Breanna Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2023
Last updated Jun 5th, 2023 - about 2 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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