Provider Demographics
NPI:1275341570
Name:SAEGER, BREA (PRSS)
Entity type:Individual
Prefix:
First Name:BREA
Middle Name:
Last Name:SAEGER
Suffix:
Gender:F
Credentials:PRSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW MARTINSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26155-1251
Mailing Address - Country:US
Mailing Address - Phone:304-398-2298
Mailing Address - Fax:304-398-2244
Practice Address - Street 1:144 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NEW MARTINSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26155-1251
Practice Address - Country:US
Practice Address - Phone:304-398-2298
Practice Address - Fax:304-398-2244
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23-9102175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist