Bauer, Regina M

Bauer, Regina M is an sole proprietor health care provider with primary practice located at 989 N 5Th St , Breese IL 62230-1329. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Bauer, Regina M can be contacted via phone (618) 772-3522.

Contact Information

Primary practice address
989 N 5Th St Breese IL 62230-1329
Phone: (618) 772-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1063986214
LBN Legal business name Bauer, Regina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2019
Last updated Jan 21st, 2019 - about 6 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.

Request for update

Popular Providers