Reynolds, Eric Keith

Reynolds, Eric Keith is an sole proprietor health care provider with primary practice located at 115 Christopher Columbus Dr 404, Jersey City NJ 07302-5526. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Reynolds, Eric Keith can be contacted via phone (973) 678-1303.

Contact Information

Primary practice address
115 Christopher Columbus Dr 404 Jersey City NJ 07302-5526
Phone: (973) 678-1303
Fax: (973) 678-1306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 006238 New York

Profile Details

NPI number 1659565240
LBN Legal business name Reynolds, Eric Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Jan 5th, 2015 - about 9 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 1659565240 NPPES
New York Other A100019366 PTAN NUMBER
New York MEDICAID 3017645 PTAN NUMBER

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