Reynolds, Jason E
Reynolds, Jason E is an individual health care provider with primary practice located at 53 Marion Rd Suite One, Wareham MA 02571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reynolds, Jason E can be contacted via phone (508) 295-8622.Contact Information
Primary practice address
53 Marion Rd Suite One
Wareham MA 02571
Phone: (508) 295-8622
Fax: (508) 295-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 213696 | Massachusetts |
Profile Details
| NPI number | 1184727323 |
|---|---|
| LBN Legal business name | Reynolds, Jason E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| 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 | 1184727323 | NPPES |
| Massachusetts | MEDICAID | 2000962 |
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