Reynolds, Jodi

Reynolds, Jodi is an sole proprietor health care provider with primary practice located at 1425 S Main St , Walnut Creek CA 94596-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reynolds, Jodi can be contacted via phone (925) 295-4130.

Contact Information

Primary practice address
1425 S Main St Walnut Creek CA 94596-5318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19068 California

Profile Details

NPI number 1063629111
LBN Legal business name Reynolds, Jodi
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Dec 1st, 2011 - about 13 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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