Reynolds, Douglas E

Reynolds, Douglas E is an sole proprietor health care provider with primary practice located at 1 Wyoming St , Dayton OH 45409-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reynolds, Douglas E can be contacted via phone (937) 208-3356.

Contact Information

Primary practice address
1 Wyoming St Dayton OH 45409-2722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35084485 Ohio

Profile Details

NPI number 1023096716
LBN Legal business name Reynolds, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Jan 13th, 2017 - about 7 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 1023096716 NPPES
Ohio MEDICAID 2498631

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