Gantt, Regina
Gantt, Regina is an sole proprietor health care provider with primary practice located at 28 Valle Lindo Road , Peralta NM 87042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gantt, Regina can be contacted via phone (505) 280-5326.Contact Information
Primary practice address
28 Valle Lindo Road
Peralta NM 87042
Phone: (505) 280-5326
Fax: (505) 848-5008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1396121505 |
|---|---|
| LBN Legal business name | Gantt, Regina |
| Credentials | CSFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2015 |
| Last updated | Jan 13th, 2016 - about 9 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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