Breakaway, Llc

LBN: Breakaway, Llc
Breakaway, Llc is an health care organization with primary practice located at 2023 Sw Gage Blvd , Topeka KS 66604-3339. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Breakaway, Llc can be contacted via phone (785) 329-5344, or through Clemetson, Kerry via phone (913) 475-7713.

Contact Information

Primary practice address
2023 Sw Gage Blvd Topeka KS 66604-3339
Phone: (785) 329-5344
Fax: (785) 329-5625
Website:
Map and Directions
Authorized official contact:
Name: Clemetson, Kerry
Phone: (913) 475-7713

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1376181149
LBN Legal business name Breakaway, Llc
DBA Doing business as
Authorized official Clemetson, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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