Regan, Michael Gerard

Regan, Michael Gerard is an sole proprietor health care provider with primary practice located at 105 Central Ave Ste 300B , Goose Creek SC 29445. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Regan, Michael Gerard can be contacted via phone (843) 569-1212.

Contact Information

Primary practice address
105 Central Ave Ste 300B Goose Creek SC 29445
Fax: (843) 569-1909
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1171 South Carolina

Profile Details

NPI number 1184758120
LBN Legal business name Regan, Michael Gerard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Oct 23rd, 2018 - about 6 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 1184758120 NPPES
South Carolina MEDICAID CH1171
South Carolina Other 571071009

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