Crossnoe, Reagan Lee
Crossnoe, Reagan Lee is an sole proprietor health care provider with primary practice located at 7120 Sw 9Th Ave , Amarillo TX 79106-1704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Crossnoe, Reagan Lee can be contacted via phone (806) 547-0330.Contact Information
Primary practice address
7120 Sw 9Th Ave
Amarillo TX 79106-1704
Phone: (806) 547-0330
Fax: (806) 547-0331
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K9511 | Texas |
Profile Details
NPI number | 1083604086 |
---|---|
LBN Legal business name | Crossnoe, Reagan Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 21st, 2005 |
Last updated | Nov 21st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083604086 | NPPES |
Texas | Other | E00820587843 | AETNA |
Texas | Other | P00010069 | AETNA |
Texas | Other | 0090JU | AETNA |
Texas | MEDICAID | 157236401 | AETNA |
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