Phillips, Regina D

Phillips, Regina D is an sole proprietor health care provider with primary practice located at 1011 Eagles Ridge Ct , Lawrenceville GA 30043-4196. She recently has 4 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Nursing Service Providers / Registered Nurse, Other Service Providers / Prosthetics Case Management. Nursing Service Providers / Registered Nurse is her primary health care specialty. Phillips, Regina D can be contacted via phone (513) 237-8089.

Contact Information

Primary practice address
1011 Eagles Ridge Ct Lawrenceville GA 30043-4196
Phone: (513) 237-8089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 431983029 Georgia
Transportation Services / Private Vehicle 347C00000X 431983029 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN232977 Georgia
Other Service Providers / Prosthetics Case Management 1744P3200X 431983029 Georgia
Other Service Providers / Prosthetics Case Management 1744P3200X 431983029 Ohio

Profile Details

NPI number 1891173324
LBN Legal business name Phillips, Regina D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2015
Last updated Oct 7th, 2016 - about 8 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 1891173324 NPPES
Georgia MEDICAID 4319893029
Georgia MEDICAID 813745446

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