Reginal Predestin, OWNER
Contractor in Bridgeport, Connecticut
1306595244- Practice location
- 250 N Bishop Ave Apt 2, Bridgeport, CT 06610-2455
- Phone
- 203-572-6065
- Fax
- —
- Last updated
- March 19, 2022
Reginal Predestin is a Contractor based in Bridgeport, CT. Reginal Predestin practices in Bridgeport, CT and has the professional credentials of OWNER. The NPI Number for Reginal Predestin is 1306595244. The current practice location address for Reginal Predestin is 250 N Bishop Ave Apt 2, Bridgeport, CT 06610-2455 and can be reached out via phone at 203-572-6065.
Provider Profile Details
- NPI Number
- 1306595244
- Provider Name
- Reginal Predestin
- Credential
- OWNER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 250 N Bishop Ave Apt 2, Bridgeport, CT 06610-2455
- Phone Number
- 203-572-6065
- Primary Taxonomy
- Contractor · 171W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 19, 2022
- Last Update Date
- March 19, 2022
- Certification Date
- March 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 N Bishop Ave Apt 2
Bridgeport, CT 06610-2455 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610-2455
- Phone Number
- 203-572-6065
Provider Business Mailing Address Details
- Address
- 250 N Bishop Ave Apt 2
Bridgeport, CT 06610-2455 - City
- Bridgeport
- State
- CT
- Zip
- 06610-2455
- Phone Number
- 203-572-6065
License Information
- Taxonomy
- Contractor · 171W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Reginal Predestin, OWNER?
The NPI number of Reginal Predestin, OWNER is 1306595244. It was assigned on March 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Reginal Predestin, OWNER?
Reginal Predestin, OWNER is registered under the primary taxonomy Contractor (code 171W00000X).
Where does Reginal Predestin, OWNER practice?
The practice location is 250 N Bishop Ave Apt 2, Bridgeport, CT 06610-2455. The office can be reached at 203-572-6065 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306595244 directly on the NPPES registry website.