Brokaw, Regena D

Brokaw, Regena D is an sole proprietor health care provider with primary practice located at 1211 State Route 97 , Mansfield OH 44904-9322. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Transportation Services / Private Vehicle. Nursing Service Related Providers / Homemaker is her primary health care specialty. Brokaw, Regena D can be contacted via phone (419) 989-1027.

Contact Information

Primary practice address
1211 State Route 97 Mansfield OH 44904-9322
Phone: (419) 989-1027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1568129724
LBN Legal business name Brokaw, Regena D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2021
Last updated Nov 24th, 2021 - about 3 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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