Reynolds, Daniel W

Reynolds, Daniel W is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 130 , Coon Rapids MN 55433-2583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reynolds, Daniel W can be contacted via phone (763) 236-9000.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 130 Coon Rapids MN 55433-2583
Phone: (763) 236-9000
Fax: (763) 236-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 53998 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 36923 Minnesota

Profile Details

NPI number 1942275961
LBN Legal business name Reynolds, Daniel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 21st, 2021 - about 4 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 1942275961 NPPES
Minnesota MEDICAID 246225700
Minnesota MEDICAID 34090600

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