Individual
DR. MICHAEL BRANDON REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH11247
FL
111NN0400X
Neurology Chiropractor
S01350
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107050
AETNA
—
01
—
320469
COVENTRY
—
01
—
52-1934607
TAX ID
—
01
—
53603803
CAREFIRST BCBS
MD
01
—
53603804
BCBS
MD
01
—
E6530002
CAREFIRST BLUE CHOICE
MD
01
—
E6530002
FEDERAL BCBS
—
Enumeration date
01/17/2007
Last updated
10/26/2016
Update your record
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