Reavis, Daryl K

Reavis, Daryl K is an sole proprietor health care provider with primary practice located at 1245 Fulton Ave , Coos Bay OR 97420-2895. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reavis, Daryl K can be contacted via phone (541) 888-6433.

Contact Information

Primary practice address
1245 Fulton Ave Coos Bay OR 97420-2895
Phone: (541) 888-6433
Fax: (541) 888-7505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D01503 Arizona

Profile Details

NPI number 1518342179
LBN Legal business name Reavis, Daryl K
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2015
Last updated Jul 24th, 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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