# DR. JOHN P REAGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770619025
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X5827 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 07/08/2007

## 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 |