Regis, Mark J

Regis, Mark J is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Regis, Mark J can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax: (802) 748-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0031061 Vermont

Profile Details

NPI number 1518279157
LBN Legal business name Regis, Mark J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2010
Last updated Jan 11th, 2016 - about 8 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 1518279157 NPPES
Vermont MEDICAID 9000486
Vermont MEDICAID 3075219

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