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Contact Information

REGINA ANDERSON
224 COLUMBUS RD
ATHENS, OH45701-1334
 Phone: 740-592-6724
 Fax: 740-592-6728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for REGINA ANDERSON · (Female)

NPI Number 1891260527
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2018
Last updated 10/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 125146
  • OH Medicaid 2314525
  • OH Medicaid 2864002
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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