Reddan, Patrick R

Reddan, Patrick R is an individual health care provider with primary practice located at 900 Peeler St , Kalamazoo MI 49008-2380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Reddan, Patrick R can be contacted via phone (269) 345-8618.

Contact Information

Primary practice address
900 Peeler St Kalamazoo MI 49008-2380
Fax: (269) 345-1508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301057780 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301057780 Michigan

Profile Details

NPI number 1558336735
LBN Legal business name Reddan, Patrick R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 23rd, 2021 - about 3 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 1558336735 NPPES
Michigan MEDICAID 4858067
Michigan MEDICAID 4127939

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