Regan, Stanton Maurice

Regan, Stanton Maurice is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Regan, Stanton Maurice can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01073669A Indiana

Profile Details

NPI number 1538332259
LBN Legal business name Regan, Stanton Maurice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2008
Last updated Feb 19th, 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 1538332259 NPPES
Indiana Other 000000876441 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201226370 ANTHEM PROVIDER NUMBER

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