Jeffrey R Breneisen in Fairfield - Cardiovascular Disease

Jeffrey R Breneisen - NPI 1629058615

Jeffrey R Breneisen is a Cardiovascular Disease in Fairfield, California. Jeffrey R Breneisen practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jeffrey R Breneisen is 1629058615. The last update date is 2015-07-31.

Jeffrey R Breneisen's current location address is 1860 Pennsylvania Ave, Fairfield, California. You can contact this provider via phone number 7076464400 and fax number 7076464401. The mailing address for Jeffrey R Breneisen is 1860 Pennsylvania Ave, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey R Breneisen
Address 1860 Pennsylvania Ave, Fairfield, California
Phone Number 7076464400
Fax Number 7076464401
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1629058615
Provider Enumeration Date 2006-01-18
Last Updated Date 2015-07-31

Provider Mailing Address Detail

Address 1860 Pennsylvania Ave
City Fairfield
State California (CA)
Post Code 945333590
Phone Number 7076464400
Fax Number 7076464401

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No G86677
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G866770 CA --

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FAQs about Jeffrey R Breneisen

What is the unique identification code assigned to Jeffrey R Breneisen by the Centers for Medicare & Medicaid Services?

The Jeffrey R Breneisen has been issued the NPI (National Provider Identifier) 1629058615. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey R Breneisen is physically located?

The Jeffrey R Breneisen is situated at the following address: 1860 Pennsylvania Ave, Fairfield, CA 945333590.

What is Jeffrey R Breneisen's area of expertise and its corresponding taxonomy classification?

The Jeffrey R Breneisen's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

On what date did Jeffrey R Breneisen receive its 1629058615 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey R Breneisen was assigned its 1629058615 on 2006-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jeffrey R Breneisen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey R Breneisen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-31.

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