Mulligan, Regina K

Mulligan, Regina K is an individual health care provider with primary practice located at 311 W 2Nd St , Owensboro KY 42301-0734. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mulligan, Regina K can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
311 W 2Nd St Owensboro KY 42301-0734
Fax: (859) 254-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508998774
LBN Legal business name Mulligan, Regina K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1508998774 NPPES
Kentucky MEDICAID 30615058

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