Breiner, Michael Joseph
Breiner, Michael Joseph is an sole proprietor health care provider with primary practice located at 2965 Colonnade Dr Suite 140, Roanoke VA 24018-3557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Breiner, Michael Joseph can be contacted via phone (540) 989-6361.Contact Information
Primary practice address
2965 Colonnade Dr Suite 140
Roanoke VA 24018-3557
Phone: (540) 989-6361
Fax: (540) 989-8697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 0101050226 | Virginia |
Profile Details
| NPI number | 1174543714 |
|---|---|
| LBN Legal business name | Breiner, Michael Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174543714 | NPPES |
| Other | 348227 | MAMSI | |
| Other | 323954 | MAMSI | |
| Other | 4420846 | MAMSI | |
| MEDICAID | 06901051 | MAMSI | |
| Other | 76991 | MAMSI |
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