Reynolds, Jeffrey A

Reynolds, Jeffrey A is an individual health care provider with primary practice located at 908 W 4Th North St , Morristown TN 37814-3894. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reynolds, Jeffrey A can be contacted via phone (423) 586-4231.

Contact Information

Primary practice address
908 W 4Th North St Morristown TN 37814-3894
Fax: (865) 291-3228
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 160 Tennessee

Profile Details

NPI number 1508808577
LBN Legal business name Reynolds, Jeffrey A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 16th, 2020 - about 4 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 1508808577 NPPES
Tennessee Other 4050526 BCBS

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