Reynolds, John M

Reynolds, John M is an individual health care provider with primary practice located at 1819 W Clinch Ave Ste 100 , Knoxville TN 37916-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reynolds, John M can be contacted via phone (865) 524-5365.

Contact Information

Primary practice address
1819 W Clinch Ave Ste 100 Knoxville TN 37916-2435
Phone: (865) 524-5365
Fax: (865) 673-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35460 Tennessee

Profile Details

NPI number 1831205160
LBN Legal business name Reynolds, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 13th, 2023 - 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 1831205160 NPPES
Tennessee MEDICAID 3867875

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