Reynolds, David Dewitt

Reynolds, David Dewitt is an individual health care provider with primary practice located at 1860 Fair Ave. Suite A, Honesdale PA 18431-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Reynolds, David Dewitt can be contacted via phone (570) 253-3391.

Contact Information

Primary practice address
1860 Fair Ave. Suite A Honesdale PA 18431-1032
Phone: (570) 253-3391
Fax: (570) 253-1811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD043252L Pennsylvania

Profile Details

NPI number 1003829474
LBN Legal business name Reynolds, David Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Feb 20th, 2013 - about 12 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 1003829474 NPPES
Pennsylvania Other 110163810 MEDICARE RAILROAD
Pennsylvania Other RE725073 MEDICARE RAILROAD
Pennsylvania MEDICAID 0012880140006 MEDICARE RAILROAD
Pennsylvania Other 2400390 MEDICARE RAILROAD
Pennsylvania Other 9036990 MEDICARE RAILROAD
Pennsylvania Other 0562453000 MEDICARE RAILROAD
Pennsylvania Other 804628 MEDICARE RAILROAD

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