George, Reggie L.
George, Reggie L. is an individual health care provider with primary practice located at 3801 S. National Ave 5Th Floor, Springfield MO 65807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. George, Reggie L. can be contacted via phone (417) 269-7728.Contact Information
Primary practice address
3801 S. National Ave 5Th Floor
Springfield MO 65807
Phone: (417) 269-7728
Fax: (417) 269-7729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2000149844 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2000149844 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2000149844 | Missouri |
Profile Details
| NPI number | 1396723292 |
|---|---|
| LBN Legal business name | George, Reggie L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jan 21st, 2013 - about 11 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 | 1396723292 | NPPES |
| Missouri | MEDICAID | 205981327 |
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