Reavill, Christopher Scott

Reavill, Christopher Scott is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reavill, Christopher Scott can be contacted via phone (910) 202-3363.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Fax: (910) 332-1072
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301086188 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32415 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 201402245 North Carolina

Profile Details

NPI number 1184818890
LBN Legal business name Reavill, Christopher Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated May 11th, 2015 - about 9 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 1184818890 NPPES
South Carolina Other 32415 LICENSE
South Carolina Other 2014-02245 LICENSE

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