Breitenbach, Ray Alvin

Breitenbach, Ray Alvin is an individual health care provider with primary practice located at 3901 Highland Rd Suite D, Waterford MI 48328-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Breitenbach, Ray Alvin can be contacted via phone (248) 682-3070.

Contact Information

Primary practice address
3901 Highland Rd Suite D Waterford MI 48328-2162
Phone: (248) 682-3070
Fax: (248) 682-3626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301404572 Michigan

Profile Details

NPI number 1679541940
LBN Legal business name Breitenbach, Ray Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 28th, 2011 - about 15 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 1679541940 NPPES
Michigan Other 700F37550 BCBSM
Michigan MEDICAID 104680165 BCBSM

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