Delos Reyes, Odin

Delos Reyes, Odin is an individual health care provider with primary practice located at 1 Pomperaug Office Park Suite 105, Southbury CT 06488-2295. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Delos Reyes, Odin can be contacted via phone (203) 262-6100.

Contact Information

Primary practice address
1 Pomperaug Office Park Suite 105 Southbury CT 06488-2295
Phone: (203) 262-6100
Fax: (203) 264-6679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X CT 000 680 Connecticut

Profile Details

NPI number 1679682249
LBN Legal business name Delos Reyes, Odin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679682249 NPPES
Connecticut Other 480026445 RAILROAD MEDICARE PIN
Connecticut MEDICAID 004186947 RAILROAD MEDICARE PIN

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