Reynolds, Jacque L.

Reynolds, Jacque L. is an individual health care provider with primary practice located at 309 E Hospital Rd , El Dorado Springs MO 64744-2021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reynolds, Jacque L. can be contacted via phone (417) 876-5851.

Contact Information

Primary practice address
309 E Hospital Rd El Dorado Springs MO 64744-2021
Phone: (417) 876-5851
Fax: (417) 876-5484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R8648 Missouri

Profile Details

NPI number 1568549129
LBN Legal business name Reynolds, Jacque L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 17th, 2008 - about 16 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 1568549129 NPPES
Missouri MEDICAID 240578617

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