Reynolds, Adam C
Reynolds, Adam C is an individual health care provider with primary practice located at 999 N Curtis Rd Ste 205 , Boise ID 83706-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Reynolds, Adam C can be contacted via phone (208) 373-1200.Contact Information
Primary practice address
999 N Curtis Rd Ste 205
Boise ID 83706-1316
Phone: (208) 373-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M9578 | Idaho |
Profile Details
| NPI number | 1417916586 |
|---|---|
| LBN Legal business name | Reynolds, Adam C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Dec 1st, 2011 - about 13 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 | 1417916586 | NPPES |
| Idaho | MEDICAID | 002774500 |
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Roberts, Denton R
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