Mr. Charles Regan, PA-C, ATC

Individual provider Other Specialist/Technologist · NPI 1386609824

Mr. Charles Regan, PA-C, ATC is a Physician Assistant in Port Huron, Michigan. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying: 19
Licensed in: MI
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.

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Practice location Address checks out

600 Fort St Ste 100
Port Huron, MI 48060-3941
Phone: (810) 987-9871
Fax: (810) 987-6070

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 5601005151 (MI)
Other Specialist/Technologist	Taxonomy 246Z00000X

Record details

NPI number	1386609824
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA-C , ATC
Sole proprietor	No
NPI enumerated	April 18, 2006
Last updated in NPPES	February 29, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2007 (19 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare