Reynolds, Edward John
Reynolds, Edward John is an sole proprietor health care provider with primary practice located at 25431 Cabot Rd #110, Laguna Hills CA 92653-5518. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reynolds, Edward John can be contacted via phone (949) 716-1900.Contact Information
Primary practice address
25431 Cabot Rd #110
Laguna Hills CA 92653-5518
Phone: (949) 716-1900
Fax: (949) 716-1919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | DC20364 | California |
Profile Details
NPI number | 1316090616 |
---|---|
LBN Legal business name | Reynolds, Edward John |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 19th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316090616 | NPPES |
California | Other | DC20364 | MEDICAL LICENCE |
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