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Individual
DR. JOHN P REAGAN
Active
Individual
DR. JOHN P REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X5827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320054
ACN PROVIDER ID
NY
01
—
4381441
AETNA PROVIDER ID
NY
01
—
P413673
OXFORD PROVIDER ID
NY
01
—
RJ5827
ATLANTIS PROVIDER ID
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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