Reynhout, Jonathan C

Reynhout, Jonathan C is an sole proprietor health care provider with primary practice located at 6333 Main St , Williamsville NY 14221-5800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Reynhout, Jonathan C can be contacted via phone (716) 631-8400.

Contact Information

Primary practice address
6333 Main St Williamsville NY 14221-5800
Phone: (716) 631-8400
Fax: (716) 631-8408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 105746 1 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 105746 1 New York

Profile Details

NPI number 1013918226
LBN Legal business name Reynhout, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Jun 17th, 2010 - about 15 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 1013918226 NPPES
New York MEDICAID 00600862

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