Reynolds, Diana

Reynolds, Diana is an individual health care provider with primary practice located at 400 Court St Ste 300 , Charleston WV 25301-1654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Reynolds, Diana can be contacted via phone (304) 342-8142.

Contact Information

Primary practice address
400 Court St Ste 300 Charleston WV 25301-1654
Phone: (304) 342-8142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16665 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16665 West Virginia

Profile Details

NPI number 1134108392
LBN Legal business name Reynolds, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Feb 26th, 2013 - about 11 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 1134108392 NPPES
West Virginia Other 1053521 WV DWC
West Virginia MEDICAID 107302000 WV DWC
West Virginia Other 001718053 WV DWC

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