Individual
DR. CHRISTIE M REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1116 MILLIS AVE, SUITE 201A, BOONVILLE, IN 47601-2204
(812) 897-7381
(812) 897-7331
Mailing address
1116 MILLIS AVE STE 101, BOONVILLE, IN 47601-2226
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01059425A
IN
207Q00000X
Family Medicine Physician
01059425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339553
ANTHEM PROVIDER#
IN
05
—
100180890F
—
IN
05
—
200493800
—
IN
Enumeration date
06/04/2006
Last updated
08/10/2022
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