Bristol, Reagan Evan Albert
Bristol, Reagan Evan Albert is an sole proprietor health care provider with primary practice located at 3006 Campbell St , Sandusky OH 44870-5381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bristol, Reagan Evan Albert can be contacted via phone (419) 627-9840.Contact Information
Primary practice address
3006 Campbell St
Sandusky OH 44870-5381
Phone: (419) 627-9840
Fax: (419) 627-9842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006440B | Ohio |
Profile Details
| NPI number | 1578536199 |
|---|---|
| LBN Legal business name | Bristol, Reagan Evan Albert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1578536199 | NPPES |
| Ohio | MEDICAID | 0256628 |
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