Reynolds, Charles Christopher

Reynolds, Charles Christopher is an individual health care provider with primary practice located at 690 N Cofco Center Ct Suite 260, Phoenix AZ 85008-6462. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Reynolds, Charles Christopher can be contacted via phone (602) 279-6905.

Contact Information

Primary practice address
690 N Cofco Center Ct Suite 260 Phoenix AZ 85008-6462
Phone: (602) 279-6905
Fax: (888) 445-4263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 0880 Arizona

Profile Details

NPI number 1275521502
LBN Legal business name Reynolds, Charles Christopher
Credentials PT MHS CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated May 1st, 2008 - about 17 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 1275521502 NPPES
Arizona MEDICAID 095994
Arizona Other Z113264

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