Reeder, Mark L

Reeder, Mark L is an individual health care provider with primary practice located at 53 Church St Unit 14 , Kingston NH 03848-3072. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Reeder, Mark L can be contacted via phone (603) 642-3910.

Contact Information

Primary practice address
53 Church St Unit 14 Kingston NH 03848-3072
Fax: (603) 642-3940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 12221 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12221 New Hampshire

Profile Details

NPI number 1205899556
LBN Legal business name Reeder, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 23rd, 2019 - about 6 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 1205899556 NPPES
New Hampshire MEDICAID 3078051

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