Reavis, John Wallace
Reavis, John Wallace is an sole proprietor health care provider with primary practice located at 1532 32Nd Ave S , Fargo ND 58103-5987. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Reavis, John Wallace can be contacted via phone (701) 280-1928.Contact Information
Primary practice address
1532 32Nd Ave S
Fargo ND 58103-5987
Phone: (701) 280-1928
Fax: (701) 280-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3411 | North Dakota |
Profile Details
| NPI number | 1750446845 |
|---|---|
| LBN Legal business name | Reavis, John Wallace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| 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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