Doctor Name: | DR. REGINALD L VERNIER |
NPI Number: | 1023170057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 500 S Scott Ave Newton, IL - 624481665 |
Business Phone Number: | 6187838713 |
Business Fax Number: | 6187834170 |
Mailing Address: | 500 S Scott Ave, NEWTON |
State: | IL |
Postal Code: | 624481665 |
Phone Number: | 6187838713 |
Fax Number: | 6187834170 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |