Reeder, James O

Reeder, James O is an individual health care provider with primary practice located at 2995 N Salisbury St , West Lafayette IN 47906-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reeder, James O can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2995 N Salisbury St West Lafayette IN 47906-1435
Fax: (765) 448-8335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01037401A Indiana

Profile Details

NPI number 1235108572
LBN Legal business name Reeder, James O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1235108572 NPPES
Indiana Other 000000188159 ANTHEM PROVIDER NUMBER
Indiana Other 10825812 ANTHEM PROVIDER NUMBER
Indiana Other 9397378 ANTHEM PROVIDER NUMBER
Indiana MEDICAID RE15732035 ANTHEM PROVIDER NUMBER

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