Joni Reagan is a Clinical in Bloomington, Indiana. Joni Reagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joni Reagan is 1720200082. The last update date is 2009-12-02.
Joni Reagan's current location address is 741 Pepperridge Dr, Bloomington, Indiana. You can contact this provider via phone number 8123370771 and fax number 8123536137. The mailing address for Joni Reagan is 741 Pepperridge Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joni Reagan |
|---|---|
| Address | 741 Pepperridge Dr, Bloomington, Indiana |
| Phone Number | 8123370771 |
| Fax Number | 8123536137 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720200082 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 741 Pepperridge Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474019884 |
| Phone Number | 8123370771 |
| Fax Number | 8123536137 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003739A |
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Post Comment/ Review Below
What is the unique identification code assigned to Joni Reagan by the Centers for Medicare & Medicaid Services?
The Joni Reagan has been issued the NPI (National Provider Identifier) 1720200082. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joni Reagan's facilities are situated?
The facilities of Joni Reagan are physically located at the following address: 741 Pepperridge Dr, Bloomington, IN, 474019884.
What is Joni Reagan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joni Reagan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Joni Reagan receive its 1720200082 assignment from the Centers for Medicare & Medicaid Services?
The Joni Reagan was assigned its 1720200082 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information regarding Joni Reagan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joni Reagan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-02.
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