Ruffin, Regina Channell
Ruffin, Regina Channell is an individual health care provider with primary practice located at 1923 W Glen Park Ave , Griffith IN 46319-3703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ruffin, Regina Channell can be contacted via phone (219) 922-2535.Contact Information
Primary practice address
1923 W Glen Park Ave
Griffith IN 46319-3703
Phone: (219) 922-2535
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209019415 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71013320A | Indiana |
Profile Details
NPI number | 1164084133 |
---|---|
LBN Legal business name | Ruffin, Regina Channell |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2019 |
Last updated | Dec 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164084133 | NPPES |
Illinois | MEDICAID | 209.019415 |
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