Provider Demographics
NPI:1437291036
Name:BREITLING INVESTMENT COMPANY LLC
Entity Type:Organization
Organization Name:BREITLING INVESTMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTILO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-268-9556
Mailing Address - Street 1:918 MAIN ST # A
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3444
Mailing Address - Country:US
Mailing Address - Phone:225-268-9556
Mailing Address - Fax:
Practice Address - Street 1:918 A MAIN STREET
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-2842
Practice Address - Country:US
Practice Address - Phone:225-268-9556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management