Reagan, Christie M

Reagan, Christie M is an individual health care provider with primary practice located at 1116 Millis Ave Suite 201A, Boonville IN 47601-2204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Reagan, Christie M can be contacted via phone (812) 897-7381.

Contact Information

Primary practice address
1116 Millis Ave Suite 201A Boonville IN 47601-2204
Fax: (812) 897-7331
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059425A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01059425A Indiana

Profile Details

NPI number 1447298971
LBN Legal business name Reagan, Christie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 10th, 2022 - about 2 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 1447298971 NPPES
Indiana Other 000000339553 ANTHEM PROVIDER#
Indiana MEDICAID 200493800 ANTHEM PROVIDER#
Indiana MEDICAID 100180890F ANTHEM PROVIDER#

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