Reagan, Patrick J

Reagan, Patrick J is an individual health care provider with primary practice located at 34503 9Th Ave S , Federal Way WA 98003-8727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reagan, Patrick J can be contacted via phone (253) 835-8040.

Contact Information

Primary practice address
34503 9Th Ave S Federal Way WA 98003-8727
Phone: (253) 835-8040
Fax: (253) 835-8035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00015641 Washington

Profile Details

NPI number 1225000995
LBN Legal business name Reagan, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 23rd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225000995 NPPES
Washington Other P07544 PIERCE COUNTY
Washington MEDICAID 1224906 PIERCE COUNTY
Washington Other 0239786 PIERCE COUNTY
Washington Other 0296244 PIERCE COUNTY
Washington Other 7543RD PIERCE COUNTY
Washington Other MD5069W PIERCE COUNTY

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