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Contact Information

THAD REGENOLD, RN, CDE
74 ECLIPSE CTR
BELOIT, WI53511-3550
 Phone: 608-361-0311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for THAD REGENOLD · (Male)

NPI Number 1578069522
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 03/30/2018
Last updated 03/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 152336-30
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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