Breitkreutz, Stefanie A

Breitkreutz, Stefanie A is an individual health care provider with primary practice located at Emile 42Nd St , Omaha NE 68198-1928. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Breitkreutz, Stefanie A can be contacted via phone (402) 559-4015.

Contact Information

Primary practice address
Emile 42Nd St Omaha NE 68198-1928
Phone: (402) 559-4015
Fax: (402) 559-8715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01093 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2119 Nebraska

Profile Details

NPI number 1538261060
LBN Legal business name Breitkreutz, Stefanie A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Jun 13th, 2017 - about 8 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 1538261060 NPPES
Kansas Other 426969 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 200376510A BLUE CROSS BLUE SHIELD

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