Phillips, Breanne Marie

Phillips, Breanne Marie is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Phillips, Breanne Marie can be contacted via phone (845) 342-4774.

Contact Information

Primary practice address
111 Maltese Dr Middletown NY 10940-2141
Phone: (845) 342-4774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053102 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00228600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 028248 New York

Profile Details

NPI number 1144418054
LBN Legal business name Phillips, Breanne Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Sep 7th, 2022 - about 3 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 1144418054 NPPES
New York Other 028248 LICENSE

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