Fernley, Reagan E

Fernley, Reagan E is an individual health care provider with primary practice located at 134 E Idaho Ave , Homedale ID 83628-5003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Fernley, Reagan E can be contacted via phone (208) 337-3254.

Contact Information

Primary practice address
134 E Idaho Ave Homedale ID 83628-5003
Phone: (208) 337-3254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 8554 Idaho

Profile Details

NPI number 1881459543
LBN Legal business name Fernley, Reagan E
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2024
Last updated Feb 20th, 2024 - about 2 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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