Mcreynolds, Samuel D.

Mcreynolds, Samuel D. is an individual health care provider with primary practice located at 537 Union Ave , Grants Pass OR 97527-5543. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mcreynolds, Samuel D. can be contacted via phone (541) 479-6777.

Contact Information

Primary practice address
537 Union Ave Grants Pass OR 97527-5543
Phone: (541) 479-6777
Fax: (541) 479-6779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60914100 Washington

Profile Details

NPI number 1902832652
LBN Legal business name Mcreynolds, Samuel D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 18th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902832652 NPPES
Arizona MEDICAID 881062

Popular Providers