Reynolds, Jeff G

Reynolds, Jeff G is an individual health care provider with primary practice located at 11 Westmark Ave , Colorado Springs CO 80906-4738. He recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as his primary health care specialty. Reynolds, Jeff G can be contacted via phone (719) 660-6826.

Contact Information

Primary practice address
11 Westmark Ave Colorado Springs CO 80906-4738
Fax: (719) 218-1010
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 23U713 Colorado

Profile Details

NPI number 1013495993
LBN Legal business name Reynolds, Jeff G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Aug 1st, 2018 - about 6 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 1013495993 NPPES
Colorado Other 23U713 ASSISTED LIVING

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