Reagan, Matthew Laurance

Reagan, Matthew Laurance is an individual health care provider with primary practice located at 480 Central Ave , Jbphh HI 96860-4908. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Reagan, Matthew Laurance can be contacted via phone (808) 473-1880.

Contact Information

Primary practice address
480 Central Ave Jbphh HI 96860-4908
Phone: (808) 473-1880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1821502683
LBN Legal business name Reagan, Matthew Laurance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2017
Last updated Nov 30th, 2017 - about 9 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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