Dunnahoo, Reagan R.

Dunnahoo, Reagan R. is an individual health care provider with primary practice located at 2450 S Telshor Blvd , Las Cruces NM 88011-5069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dunnahoo, Reagan R. can be contacted via phone (706) 354-5770.

Contact Information

Primary practice address
2450 S Telshor Blvd Las Cruces NM 88011-5069
Fax: (706) 354-5769
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 96-PA02 New Mexico

Profile Details

NPI number 1568455616
LBN Legal business name Dunnahoo, Reagan R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 27th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568455616 NPPES
New Mexico MEDICAID H6226

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