Individual
REGINALD SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 S 7TH ST STE SB406, VINCENNES, IN 47591-1038
(812) 885-8770
(812) 885-8771
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02001472
IN
207RG0100X
Gastroenterology Physician
TP598
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100427420A
—
IN
05
—
200002550
—
IN
01
—
IN3764001
MEDICARE
IN
Enumeration date
08/03/2005
Last updated
01/19/2022
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