Regis, Louella M

Regis, Louella M is an individual health care provider with primary practice located at 911 Washington St , Calistoga CA 94515-1433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Regis, Louella M can be contacted via phone (707) 709-2308.

Contact Information

Primary practice address
911 Washington St Calistoga CA 94515-1433
Phone: (707) 709-2308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301083835 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-15277 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A101548 California

Profile Details

NPI number 1184828964
LBN Legal business name Regis, Louella M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Aug 19th, 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 1184828964 NPPES
Hawaii MEDICAID 634825-02
Hawaii Other 0000286773
Hawaii MEDICAID 00A1015480

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