Regnier, Mark Alan
Regnier, Mark Alan is an sole proprietor health care provider with primary practice located at 1830 Mediterranean Dr , Sycamore IL 60178-3144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Regnier, Mark Alan can be contacted via phone (815) 899-0001.Contact Information
Primary practice address
1830 Mediterranean Dr
Sycamore IL 60178-3144
Phone: (815) 899-0001
Fax: (815) 899-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036097453 | Illinois |
Profile Details
| NPI number | 1851398663 |
|---|---|
| LBN Legal business name | Regnier, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 6th, 2011 - about 15 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 | 1851398663 | NPPES |
| Illinois | MEDICAID | 036097453 |
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