Regal Health And Wellness | |
1 Elizabeth Pl Dayton OH 45417-3445 | |
(937) 813-6900 | |
Not Available |
Full Name | Regal Health And Wellness |
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Speciality | Clinic/Center |
Location | 1 Elizabeth Pl, Dayton, Ohio |
Authorized Official Name and Position | Christina King (NURSE PRACTITIONER) |
Authorized Official Contact | 8036293999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regal Health And Wellness 39 Pinehurst Pl Springboro OH 45066-9519 Ph: (803) 629-3999 | Regal Health And Wellness 1 Elizabeth Pl Dayton OH 45417-3445 Ph: (937) 813-6900 |
NPI Number | 1720448087 |
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Provider Enumeration Date | 02/29/2016 |
Last Update Date | 12/21/2016 |
Medicare PECOS PAC ID | 9133418452 |
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Medicare Enrollment ID | O20160510000835 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720448087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Robert L Brandt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063452175 PECOS PAC ID: 0042368219 Enrollment ID: I20090427000391 |
Provider Name | Christina L King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891080008 PECOS PAC ID: 8022270131 Enrollment ID: I20120508000235 |
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