Reynolds, Kerisimasi L
Reynolds, Kerisimasi L is an sole proprietor health care provider with primary practice located at 39180 Farwell Dr Ste 110 , Fremont CA 94538-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reynolds, Kerisimasi L can be contacted via phone (510) 739-6520.Contact Information
Primary practice address
39180 Farwell Dr Ste 110
Fremont CA 94538-1015
Phone: (510) 739-6520
Fax: (510) 739-6522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 20A13974 | California |
Profile Details
| NPI number | 1518282920 |
|---|---|
| LBN Legal business name | Reynolds, Kerisimasi L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Sep 4th, 2019 - about 6 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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