Regguinti, Breanna

Regguinti, Breanna is an individual health care provider with primary practice located at 621 W Jackson St , Morton IL 61550-1535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Regguinti, Breanna can be contacted via phone (309) 263-4343.

Contact Information

Primary practice address
621 W Jackson St Morton IL 61550-1535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209016598 Illinois

Profile Details

NPI number 1871002048
LBN Legal business name Regguinti, Breanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 21st, 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 1871002048 NPPES
Illinois Other 209016598 LICENSE

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