Reynolds, John M
Reynolds, John M is an individual health care provider with primary practice located at 40 Duke Medicine Cir , Durham NC 27710-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reynolds, John M can be contacted via phone (919) 684-8111.Contact Information
Primary practice address
40 Duke Medicine Cir
Durham NC 27710-4000
Phone: (919) 684-8111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01054373A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2012-01517 | North Carolina |
Profile Details
| NPI number | 1407858343 |
|---|---|
| LBN Legal business name | Reynolds, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 30th, 2012 - about 14 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 | 1407858343 | NPPES |
| Indiana | MEDICAID | 200339030 |
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