Provider Demographics
NPI:1124241682
Name:REGIER, EUGENE R (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:R
Last Name:REGIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 PARK LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:SD
Mailing Address - Zip Code:57013-1022
Mailing Address - Country:US
Mailing Address - Phone:800-992-1921
Mailing Address - Fax:605-987-2365
Practice Address - Street 1:1010 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:SD
Practice Address - Zip Code:57013-1905
Practice Address - Country:US
Practice Address - Phone:800-992-1921
Practice Address - Fax:605-987-2365
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD07063245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children