Reynolds, Diane Marion

Reynolds, Diane Marion is an individual health care provider with primary practice located at 417 State Street Webber East, Suite 310, Bangor ME 04401-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reynolds, Diane Marion can be contacted via phone (207) 973-9351.

Contact Information

Primary practice address
417 State Street Webber East, Suite 310 Bangor ME 04401-1000
Phone: (207) 973-9351
Fax: (207) 973-9358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA587 Maine

Profile Details

NPI number 1811041437
LBN Legal business name Reynolds, Diane Marion
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Sep 17th, 2021 - about 3 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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