Organization
BREATHERITE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WAYNE ROBERTS (PRESIDENT/OWNER)
(606) 639-8076
Entity
Organization
Contact information
Practice address
6800 HWY. US23 SOUTH, SUITE 2, PIKEVILLE, KY 41501-6800
(606) 639-8223
(606) 639-8233
Mailing address
6800 HWY. US23 SOUTH, SUITE 2, PIKEVILLE, KY 41501-6800
(606) 639-8223
(606) 639-8233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90009432
—
KY
Enumeration date
05/04/2006
Last updated
08/22/2020
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