Anderson, Regina
Anderson, Regina is an sole proprietor health care provider with primary practice located at 4100 N Charles Street Suite 114, Baltimore MD 21218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Anderson, Regina can be contacted via phone (410) 889-7600.Contact Information
Primary practice address
4100 N Charles Street Suite 114
Baltimore MD 21218
Phone: (410) 889-7600
Fax: (410) 889-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D23825 | Maryland |
Profile Details
| NPI number | 1164474920 |
|---|---|
| LBN Legal business name | Anderson, Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 5th, 2007 - about 17 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 | 1164474920 | NPPES |
| Other | 0004266216 | AETNA |
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