Shackelford, Raegan Christine
Shackelford, Raegan Christine is an individual health care provider with primary practice located at 340 Mendel Pkwy W , Montgomery AL 36117-5406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Shackelford, Raegan Christine can be contacted via phone (334) 532-0220.Contact Information
Primary practice address
340 Mendel Pkwy W
Montgomery AL 36117-5406
Phone: (334) 532-0220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5748 | Alabama |
Profile Details
| NPI number | 1942953237 |
|---|---|
| LBN Legal business name | Shackelford, Raegan Christine |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2022 |
| Last updated | Jan 27th, 2022 - about 3 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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