Reagan, Gary M
Reagan, Gary M is an individual health care provider with primary practice located at 209 Crossroads Pl Suite 110, Mount Vernon IL 62864-6254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Reagan, Gary M can be contacted via phone (618) 244-6710.Contact Information
Primary practice address
209 Crossroads Pl Suite 110
Mount Vernon IL 62864-6254
Phone: (618) 244-6710
Fax: (618) 244-6779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-064567 | Illinois |
Profile Details
| NPI number | 1417909060 |
|---|---|
| LBN Legal business name | Reagan, Gary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 16th, 2015 - about 11 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.
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