Reagan, Melissa Hisako

Reagan, Melissa Hisako is an individual health care provider with primary practice located at 1261 Travis Blvd Ste 100 , Fairfield CA 94533-4804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Reagan, Melissa Hisako can be contacted via phone (707) 422-0543.

Contact Information

Primary practice address
1261 Travis Blvd Ste 100 Fairfield CA 94533-4804
Phone: (707) 422-0543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Z9T4J4S3 California

Profile Details

NPI number 1225668205
LBN Legal business name Reagan, Melissa Hisako
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2020
Last updated Jan 18th, 2020 - about 5 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 1225668205 NPPES
California Other 9885321 KAISER

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