Vaden, Reggie A

Vaden, Reggie A is an individual health care provider with primary practice located at 1601 E Broadway Ste240, Columbia MO 65201-8020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Vaden, Reggie A can be contacted via phone (573) 815-8145.

Contact Information

Primary practice address
1601 E Broadway Ste240 Columbia MO 65201-8020
Phone: (573) 815-8145
Fax: (573) 815-3832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X K8545 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 40886 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 2014008946 Missouri
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 2014008945 Missouri

Profile Details

NPI number 1700983343
LBN Legal business name Vaden, Reggie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Feb 7th, 2017 - about 7 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 1700983343 NPPES
Missouri Other 2014008945 MO STATE LICENSE
Missouri MEDICAID 037011603 MO STATE LICENSE
Missouri MEDICAID 037011604 MO STATE LICENSE
Missouri MEDICAID 037011605 MO STATE LICENSE
Missouri MEDICAID 1700983343 MO STATE LICENSE
Missouri MEDICAID 037011602 MO STATE LICENSE

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