Reagan, Thomas R.

Reagan, Thomas R. is an individual health care provider with primary practice located at 2700 152Nd Ave Ne , Redmond WA 98052-5543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reagan, Thomas R. can be contacted via phone (425) 883-5151.

Contact Information

Primary practice address
2700 152Nd Ave Ne Redmond WA 98052-5543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00011336 Washington

Profile Details

NPI number 1649319534
LBN Legal business name Reagan, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 10th, 2009 - about 15 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 1649319534 NPPES
Washington MEDICAID 8423709
Washington Other P00734136

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