Predestin, Reginal
Predestin, Reginal is an sole proprietor health care provider with primary practice located at 250 N Bishop Ave Apt 2 , Bridgeport CT 06610-2455. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Predestin, Reginal can be contacted via phone (203) 572-6065.Contact Information
Primary practice address
250 N Bishop Ave Apt 2
Bridgeport CT 06610-2455
Phone: (203) 572-6065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1306595244 |
|---|---|
| LBN Legal business name | Predestin, Reginal |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2022 |
| Last updated | Mar 19th, 2022 - about 4 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 | 1306595244 | NPPES |
| Other | 0 | N/A |
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