Flores, Regino J.

Flores, Regino J. is an individual health care provider with primary practice located at 1414 9Th Ave Station Medical Center, Altoona PA 16602-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flores, Regino J. can be contacted via phone (814) 946-1655.

Contact Information

Primary practice address
1414 9Th Ave Station Medical Center Altoona PA 16602-2454
Fax: (814) 949-7616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD049699L Pennsylvania

Profile Details

NPI number 1588640403
LBN Legal business name Flores, Regino J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 19th, 2012 - 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 1588640403 NPPES
Pennsylvania MEDICAID 0014172830001

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