Breidel, Randy Scott

Breidel, Randy Scott is an sole proprietor health care provider with primary practice located at Dam Neck Annex 1885 Terrier Ave Ste 100, Virginia Beach VA 23461-2298. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Breidel, Randy Scott can be contacted via phone (757) 314-7221.

Contact Information

Primary practice address
Dam Neck Annex 1885 Terrier Ave Ste 100 Virginia Beach VA 23461-2298
Phone: (757) 314-7221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1265401673
LBN Legal business name Breidel, Randy Scott
Credentials SUB IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jul 21st, 2022 - about 4 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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