Reynolds, Dianne T.

Reynolds, Dianne T. is an individual health care provider with primary practice located at 230 Worcester St , Wellesley MA 02481-5420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Reynolds, Dianne T. can be contacted via phone (781) 431-5200.

Contact Information

Primary practice address
230 Worcester St Wellesley MA 02481-5420
Phone: (781) 431-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1629121405
LBN Legal business name Reynolds, Dianne T.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 18 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 1629121405 NPPES
Massachusetts Other 8662801 CIGNA
Massachusetts Other AA16243 CIGNA
Massachusetts MEDICAID 0700657 CIGNA
Massachusetts Other CN0072 CIGNA

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