Warner, Regina

Warner, Regina is an individual health care provider with primary practice located at 620 S Laurel St , Pine Bluff AR 71601-4859. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Warner, Regina can be contacted via phone (870) 534-4900.

Contact Information

Primary practice address
620 S Laurel St Pine Bluff AR 71601-4859
Fax: (870) 534-4906
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437500576
LBN Legal business name Warner, Regina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Sep 16th, 2016 - about 10 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 1437500576 NPPES
Arkansas MEDICAID 180635526

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