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Individual

DR. MARK BREIDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5544 POST RD, EAST GREENWICH, RI 02818-3459
(401) 884-8687
(401) 886-4506
Mailing address
38 CRESTON WAY, PROVIDENCE, RI 02906-2735
(401) 529-7772
(401) 886-4506

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00427
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2534160
AETNA
RI
01
26384-1
BC/BS OF RI
RI
01
44-00621
UNITED HEALTH CARE
RI
01
720116401
CIGNA
RI
01
MULTIPLAN
P-12007098
RI
Enumeration date
09/06/2006
Last updated
07/08/2007
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