Reynolds, Ellen M

Reynolds, Ellen M is an individual health care provider with primary practice located at 100 E Idaho St Ste 300, Boise ID 83712-6267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Reynolds, Ellen M can be contacted via phone (208) 381-7370.

Contact Information

Primary practice address
100 E Idaho St Ste 300 Boise ID 83712-6267
Fax: (208) 381-7377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X M-7833 Idaho

Profile Details

NPI number 1679622542
LBN Legal business name Reynolds, Ellen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 4th, 2012 - about 13 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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