Provider Demographics
NPI:1700689825
Name:BREEDEN, ZACHARIAH JM
Entity type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:JM
Last Name:BREEDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:KENESAW
Mailing Address - State:NE
Mailing Address - Zip Code:68956-0006
Mailing Address - Country:US
Mailing Address - Phone:308-380-2270
Mailing Address - Fax:
Practice Address - Street 1:849 E 2ND ST APT 21
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NE
Practice Address - Zip Code:68959-2428
Practice Address - Country:US
Practice Address - Phone:308-830-9755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care