Breen, Charles J

Breen, Charles J is an sole proprietor health care provider with primary practice located at 7370 Turfway Rd Ste 300, Florence KY 41042-4895. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Breen, Charles J can be contacted via phone (859) 746-1990.

Contact Information

Primary practice address
7370 Turfway Rd Ste 300 Florence KY 41042-4895
Phone: (859) 746-1990
Fax: (859) 746-3149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30914 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35.067760 Ohio
Other Service Providers / Specialist 174400000X 35-06-7760-B Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30914 Kentucky

Profile Details

NPI number 1437151719
LBN Legal business name Breen, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Sep 18th, 2018 - about 8 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 1437151719 NPPES
Kentucky MEDICAID 64309149
Kentucky MEDICAID 0102347

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