Rizk, Regina Elizabeth

Rizk, Regina Elizabeth is an individual health care provider with primary practice located at 100 North Pond Drive Suite E, Walled Lake MI 48390. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rizk, Regina Elizabeth can be contacted via phone (248) 669-2273.

Contact Information

Primary practice address
100 North Pond Drive Suite E Walled Lake MI 48390
Phone: (248) 669-2273
Fax: (248) 926-8624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PP052769 Michigan

Profile Details

NPI number 1205935020
LBN Legal business name Rizk, Regina Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1205935020 NPPES
Other 0639787 BCBS
Other F70284 BCBS
MEDICAID 4292137 BCBS

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