Reynolds, Blake Matthew
Reynolds, Blake Matthew is an individual health care provider with primary practice located at 2D Msob, Bldg. A-66 , Camp Lejeune NC 28542-0183. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Reynolds, Blake Matthew can be contacted via phone (910) 440-7704.Contact Information
Primary practice address
2D Msob, Bldg. A-66
Camp Lejeune NC 28542-0183
Phone: (910) 440-7704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1316239197 |
|---|---|
| LBN Legal business name | Reynolds, Blake Matthew |
| Credentials | SOIDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2011 |
| Last updated | May 11th, 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.
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