Elvis, Regina Louise

Elvis, Regina Louise is an individual health care provider with primary practice located at 271A S Culver St , Lawrenceville GA 30045-4805. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Elvis, Regina Louise can be contacted via phone (770) 676-6383.

Contact Information

Primary practice address
271A S Culver St Lawrenceville GA 30045-4805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MT004268 Georgia

Profile Details

NPI number 1730322827
LBN Legal business name Elvis, Regina Louise
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Aug 22nd, 2009 - about 15 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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