Reynolds, Justin A
Reynolds, Justin A is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 480 , Phoenix AZ 85013-4239. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Reynolds, Justin A can be contacted via phone (602) 406-5483.Contact Information
Primary practice address
500 W Thomas Rd Ste 480
Phoenix AZ 85013-4239
Phone: (602) 406-5483
Fax: (602) 406-5488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A100903 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42634 | Arizona |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 42634 | Arizona |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 42634 | Arizona |
Profile Details
| NPI number | 1568642353 |
|---|---|
| LBN Legal business name | Reynolds, Justin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568642353 | NPPES |
| Arizona | MEDICAID | 928237 |
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