Reavie, Douglas William

Reavie, Douglas William is an sole proprietor health care provider with primary practice located at 15717 Bernardo Heights Pkwy , San Diego CA 92128-3155. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Reavie, Douglas William can be contacted via phone (858) 451-1908.

Contact Information

Primary practice address
15717 Bernardo Heights Pkwy San Diego CA 92128-3155
Phone: (858) 451-1908
Fax: (858) 451-0423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G47917 California
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X G47917 California

Profile Details

NPI number 1720114291
LBN Legal business name Reavie, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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