Regan, Randolf

Regan, Randolf is an sole proprietor health care provider with primary practice located at 9100 Franklin Square Dr Eatp, Baltimore MD 21237-3903. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Regan, Randolf can be contacted via phone (410) 887-6465.

Contact Information

Primary practice address
9100 Franklin Square Dr Eatp Baltimore MD 21237-3903
Fax: (410) 687-6005
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC0043 Maryland

Profile Details

NPI number 1962537100
LBN Legal business name Regan, Randolf
Credentials CAC-AD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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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