Reichenberg, Jason S

Reichenberg, Jason S is an individual health care provider with primary practice located at 313 East 12Th St Suite 103 Dermatology, Austin TX 78701-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Reichenberg, Jason S can be contacted via phone (512) 324-9650.

Contact Information

Primary practice address
313 East 12Th St Suite 103 Dermatology Austin TX 78701-0001
Phone: (512) 324-9650
Fax: (512) 324-9653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M4471 Texas

Profile Details

NPI number 1396715280
LBN Legal business name Reichenberg, Jason S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 29th, 2013 - about 11 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 1396715280 NPPES
Texas MEDICAID 182011004

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