Breunsbach, Christina Reynolds

Breunsbach, Christina Reynolds is an individual health care provider with primary practice located at 3885 W Ashley Cir Ste F600 , Charleston SC 29414-9273. 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. Breunsbach, Christina Reynolds can be contacted via phone (843) 402-1360.

Contact Information

Primary practice address
3885 W Ashley Cir Ste F600 Charleston SC 29414-9273
Phone: (843) 402-1360
Fax: (843) 402-3309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2982 South Carolina

Profile Details

NPI number 1346732526
LBN Legal business name Breunsbach, Christina Reynolds
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Sep 12th, 2023 - about 3 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 1346732526 NPPES
South Carolina MEDICAID 3772PA

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