Breakey Prosthetics, Inc.

LBN: Breakey Prosthetics, Inc.
Breakey Prosthetics, Inc. is an health care organization with primary practice located at 820 Malone Rd , San Jose CA 95125-2639. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Breakey Prosthetics, Inc. can be contacted via phone (408) 723-0883, or through Gidding, Mike Dennis via phone (408) 723-0883.

Contact Information

Primary practice address
820 Malone Rd San Jose CA 95125-2639
Phone: (408) 723-0883
Fax: (408) 723-0890
Website:
Map and Directions
Authorized official contact:
Name: Gidding, Mike Dennis Certified Psychologist (CP)
Phone: (408) 723-0883

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1952301640
LBN Legal business name Breakey Prosthetics, Inc.
DBA Doing business as
Authorized official Gidding, Mike Dennis Certified Psychologist (CP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 30th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952301640 NPPES
California MEDICAID GFB000040

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