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Contact Information

WESLEY J BREEDLOVE, CHA 3
5530 GRAHAM ROAD
PORT GRAHAM, AK99603
 Phone: 907-284-2241
 Fax: 907-284-2277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for WESLEY J BREEDLOVE · (Male)

NPI Number 1174767396
Status Active
Credentials CHA 3
Entity Individual
Enumeration date 05/01/2009
Last updated 05/01/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 08-948-11
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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