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
Phone: (318) 226-4892
Fax: (318) 227-4927
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144297490 | NPPES |
Louisiana | MEDICAID | 1667145 |
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