Fakner, Regina

Fakner, Regina is an sole proprietor health care provider with primary practice located at 1801 Fairfield Ave Suite 203, Shreveport LA 71101-4443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fakner, Regina can be contacted via phone (318) 226-4892.

Contact Information

Primary practice address
1801 Fairfield Ave Suite 203 Shreveport LA 71101-4443
Fax: (318) 227-4927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23952 Louisiana

Profile Details

NPI number 1144297490
LBN Legal business name Fakner, Regina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144297490 NPPES
Louisiana MEDICAID 1667145

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