Reynolds, Jennifer

Reynolds, Jennifer is an sole proprietor health care provider with primary practice located at 1501 State St , New Albany IN 47150-4911. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reynolds, Jennifer can be contacted via phone (812) 945-1162.

Contact Information

Primary practice address
1501 State St New Albany IN 47150-4911
Phone: (812) 945-1162
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1670DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18003416A Indiana

Profile Details

NPI number 1992889075
LBN Legal business name Reynolds, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jun 14th, 2022 - about 2 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 1992889075 NPPES
Indiana MEDICAID 200868720
Indiana Other P00766631
Indiana Other 000000510856
Indiana MEDICAID 7100002840

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