Miller, Regan Russ
Miller, Regan Russ is an individual health care provider with primary practice located at 311 W Lincoln St Ste 100, Belleville IL 62220-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Miller, Regan Russ can be contacted via phone (618) 222-3200.Contact Information
Primary practice address
311 W Lincoln St Ste 100
Belleville IL 62220-1902
Phone: (618) 222-3200
Fax: (618) 222-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1070753 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085.005034 | Illinois |
Profile Details
| NPI number | 1518919257 |
|---|---|
| LBN Legal business name | Miller, Regan Russ |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 9th, 2014 - about 10 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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