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Contact Information

MARADEE L REGAN, PTA
3801 OLD BRUCEVILLE RD
VINCENNES, IN47591
 Phone: 812-886-4677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MARADEE L REGAN · (Female)

NPI # 1023445194
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 10/03/2013
Last updated 10/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 001179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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