Stuart, Regina K

Stuart, Regina K is an individual health care provider with primary practice located at 5 Founders St Ste 102 , Willimantic CT 06226-2050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stuart, Regina K can be contacted via phone (609) 456-2898.

Contact Information

Primary practice address
5 Founders St Ste 102 Willimantic CT 06226-2050
Phone: (609) 456-2898
Fax: (609) 456-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 57003 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 01061211A Indiana

Profile Details

NPI number 1114907029
LBN Legal business name Stuart, Regina K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114907029 NPPES
Indiana MEDICAID 200503510

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