Breiter, Jeffrey Robert

Breiter, Jeffrey Robert is an individual health care provider with primary practice located at 2400 Tamarack Ave Suite 101, South Windsor CT 06074-5539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Breiter, Jeffrey Robert can be contacted via phone (860) 644-4442.

Contact Information

Primary practice address
2400 Tamarack Ave Suite 101 South Windsor CT 06074-5539
Phone: (860) 644-4442
Fax: (860) 644-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 021746 Connecticut

Profile Details

NPI number 1306821863
LBN Legal business name Breiter, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 10th, 2015 - about 11 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 1306821863 NPPES
Connecticut MEDICAID 001217462
Connecticut Other 010021746CT01
Connecticut Other HAS731
Connecticut Other 054626
Connecticut Other 0V8025
Connecticut Other 543542

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