Provider Demographics
NPI:1235944224
Name:REAGAN, FRANCIS X
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:X
Last Name:REAGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BELL ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2944
Mailing Address - Country:US
Mailing Address - Phone:216-272-0749
Mailing Address - Fax:
Practice Address - Street 1:255 BELL ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-2944
Practice Address - Country:US
Practice Address - Phone:216-272-0749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSA593228172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver