Regan, Cornelius E.

Regan, Cornelius E. is an individual health care provider with primary practice located at 109 Millsaps Dr Ste B , Hattiesburg MS 39402-1587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Regan, Cornelius E. can be contacted via phone (601) 255-0736.

Contact Information

Primary practice address
109 Millsaps Dr Ste B Hattiesburg MS 39402-1587
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 60893 Tennessee
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 27509 Mississippi

Profile Details

NPI number 1508220252
LBN Legal business name Regan, Cornelius E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Dec 28th, 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 1508220252 NPPES
Mississippi MEDICAID 000559073

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