Breshin, Jerrold
Breshin, Jerrold is an sole proprietor health care provider with primary practice located at 342 Gifford St Unit C , Falmouth MA 02540-5107. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Breshin, Jerrold can be contacted via phone (508) 495-0554.Contact Information
Primary practice address
342 Gifford St Unit C
Falmouth MA 02540-5107
Phone: (508) 495-0554
Fax: (508) 495-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW107504 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PR041299-1 | New York |
Profile Details
| NPI number | 1518985407 |
|---|---|
| LBN Legal business name | Breshin, Jerrold |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 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 | 1518985407 | NPPES |
| Massachusetts | Other | 1038700 | TRICARE |
| Massachusetts | Other | 1896024 | TRICARE |
| Massachusetts | MEDICAID | 1896024 | TRICARE |
| Massachusetts | Other | 1854941 | TRICARE |
| Massachusetts | Other | 2041870 | TRICARE |
| Massachusetts | Other | P07062 | TRICARE |
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