John, Reena
John, Reena is an individual health care provider with primary practice located at 2150 Gettler St Ste 255 , Dyer IN 46311-2381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. John, Reena can be contacted via phone (219) 864-2235.Contact Information
Primary practice address
2150 Gettler St Ste 255
Dyer IN 46311-2381
Phone: (219) 864-2235
Fax: (219) 365-1398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01046093A | Indiana |
Profile Details
| NPI number | 1124010970 |
|---|---|
| LBN Legal business name | John, Reena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | May 16th, 2023 - about last year |
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 | 1124010970 | NPPES |
| Indiana | MEDICAID | 200148810 | |
| Indiana | Other | 0090000854 |
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