Barnett, Reginald Andre
Barnett, Reginald Andre is an individual health care provider with primary practice located at 745 River St , Mattapan MA 02126-1941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Barnett, Reginald Andre can be contacted via phone (617) 364-0222.Contact Information
Primary practice address
745 River St
Mattapan MA 02126-1941
Phone: (617) 364-0222
Fax: (617) 364-3470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 59479 | Massachusetts |
Profile Details
| NPI number | 1649207051 |
|---|---|
| LBN Legal business name | Barnett, Reginald Andre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649207051 | NPPES |
| Massachusetts | Other | 059479 | SECURE HORIZON |
| Massachusetts | Other | HPHC | SECURE HORIZON |
| Massachusetts | Other | J09247 | SECURE HORIZON |
| Massachusetts | MEDICAID | 3056597 | SECURE HORIZON |
| Massachusetts | MEDICAID | 305697 | SECURE HORIZON |
| Massachusetts | Other | 625287 | SECURE HORIZON |
| Massachusetts | Other | J09247 | SECURE HORIZON |
| Massachusetts | Other | 625287 | SECURE HORIZON |
| Massachusetts | Other | P00089350 | SECURE HORIZON |
| Massachusetts | Other | J09247 | SECURE HORIZON |
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