Reardon, Michael S
Reardon, Michael S is an sole proprietor health care provider with primary practice located at 900 Welch Rd Suite 101, Palo Alto CA 94304-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reardon, Michael S can be contacted via phone (650) 617-8655.Contact Information
Primary practice address
900 Welch Rd Suite 101
Palo Alto CA 94304-1805
Phone: (650) 617-8655
Fax: (650) 322-3416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A30575 | California |
Profile Details
| NPI number | 1487607057 |
|---|---|
| LBN Legal business name | Reardon, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487607057 | NPPES |
| California | MEDICAID | GR0012480 |
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