Breitenstein, George

Breitenstein, George is an individual health care provider with primary practice located at 115 N Western Ave , Waupaca WI 54981-2201. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Breitenstein, George can be contacted via phone (715) 256-0400.

Contact Information

Primary practice address
115 N Western Ave Waupaca WI 54981-2201
Phone: (715) 256-0400
Fax: (715) 256-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7640040-40 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X PS11868 Florida

Profile Details

NPI number 1972915148
LBN Legal business name Breitenstein, George
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated May 22nd, 2014 - about 12 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 1972915148 NPPES
Wisconsin Other 7640040-40 PHARMACY LICENSE NO

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