Reynolds, Carrie Anne

Reynolds, Carrie Anne is an individual health care provider with primary practice located at 9300 Valley Childrens Pl # Se09 , Madera CA 93636-8761. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Reynolds, Carrie Anne can be contacted via phone (559) 353-5745.

Contact Information

Primary practice address
9300 Valley Childrens Pl # Se09 Madera CA 93636-8761
Phone: (559) 353-5745
Fax: (559) 353-6093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301094824 Michigan
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X EMC0005381 Michigan
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 55430 Colorado
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X A159796 California

Profile Details

NPI number 1497985923
LBN Legal business name Reynolds, Carrie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Jul 16th, 2024 - about 2 months 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 1497985923 NPPES
California MEDICAID 1497985923

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