Reynolds, Karen E

Reynolds, Karen E is an individual health care provider with primary practice located at 608 W Brown St , Waupun WI 53963-1702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Reynolds, Karen E can be contacted via phone (920) 324-6853.

Contact Information

Primary practice address
608 W Brown St Waupun WI 53963-1702
Phone: (920) 324-6853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 53827 Wisconsin

Profile Details

NPI number 1134104896
LBN Legal business name Reynolds, Karen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Dec 16th, 2020 - about 5 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 1134104896 NPPES
Wisconsin MEDICAID 34532800
Wisconsin Other P00893766

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