Reyes, Anthony L
Reyes, Anthony L is an individual health care provider with primary practice located at 300 Oak St Ste B , Kelso WA 98626-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reyes, Anthony L can be contacted via phone (360) 353-5511.Contact Information
Primary practice address
300 Oak St Ste B
Kelso WA 98626-2304
Phone: (360) 353-5511
Fax: (360) 353-5502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60329830 | Washington |
Profile Details
| NPI number | 1588877799 |
|---|---|
| LBN Legal business name | Reyes, Anthony L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 27th, 2022 - 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 | 1588877799 | NPPES |
| Washington | MEDICAID | 2025797 |
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