Tafoya, Breion M

Tafoya, Breion M is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Tafoya, Breion M can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 5101020851 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5101020851 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X N8813 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 64798 Wisconsin

Profile Details

NPI number 1902088057
LBN Legal business name Tafoya, Breion M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 29th, 2021 - 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 1902088057 NPPES
Arizona Other R1070 TRAINING PERMIT
Arizona Other 5220030 TRAINING PERMIT

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