Beach, Regina L

Beach, Regina L is an sole proprietor health care provider with primary practice located at 1803 N Jackson St , Tullahoma TN 37388-2201. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Beach, Regina L can be contacted via phone (931) 461-1300.

Contact Information

Primary practice address
1803 N Jackson St Tullahoma TN 37388-2201
Phone: (931) 461-1300
Fax: (931) 461-1302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1598197717
LBN Legal business name Beach, Regina L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2013
Last updated Jul 31st, 2013 - about 12 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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