Spears, Regina Lynne

Spears, Regina Lynne is an sole proprietor health care provider with primary practice located at 10570 Blue Star M Hwy , South Haven MI 49090-8923. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Spears, Regina Lynne can be contacted via phone (269) 639-1115.

Contact Information

Primary practice address
10570 Blue Star M Hwy South Haven MI 49090-8923
Phone: (269) 639-1115
Fax: (269) 639-2525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001629 Michigan

Profile Details

NPI number 1568464501
LBN Legal business name Spears, Regina Lynne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Jul 9th, 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 1568464501 NPPES
Michigan MEDICAID 3259601
Michigan MEDICAID 2783207

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