Jaqua, Breanne M

Jaqua, Breanne M is an individual health care provider with primary practice located at 1501 N Gilbert Rd , Gilbert AZ 85234-2390. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Jaqua, Breanne M can be contacted via phone (480) 728-4100.

Contact Information

Primary practice address
1501 N Gilbert Rd Gilbert AZ 85234-2390
Phone: (480) 728-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.013802 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 008620 Arizona

Profile Details

NPI number 1821520313
LBN Legal business name Jaqua, Breanne M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Feb 10th, 2022 - about 4 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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