Reisman, Edward J.

Reisman, Edward J. is an individual health care provider with primary practice located at 322 W North River Dr , Spokane WA 99201-3208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Reisman, Edward J. can be contacted via phone (509) 324-6464.

Contact Information

Primary practice address
322 W North River Dr Spokane WA 99201-3208
Phone: (509) 324-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00024932 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD00024932 Washington

Profile Details

NPI number 1679619423
LBN Legal business name Reisman, Edward J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated May 3rd, 2021 - about 3 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 1679619423 NPPES
Washington MEDICAID 1035039

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