Reese, William Andrew
Reese, William Andrew is an individual health care provider with primary practice located at 1 Aerospace Blvd , Daytona Beach FL 32114-3910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reese, William Andrew can be contacted via phone (386) 226-7917.Contact Information
Primary practice address
1 Aerospace Blvd
Daytona Beach FL 32114-3910
Phone: (386) 226-7917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101047986 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME157057 | Florida |
Profile Details
| NPI number | 1720073547 |
|---|---|
| LBN Legal business name | Reese, William Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Sep 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720073547 | NPPES |
| Virginia | MEDICAID | 005854679 | |
| Virginia | Other | 49D1807406 | |
| Virginia | Other | DD9150 |
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