Reynolds, Mary
Reynolds, Mary is an individual health care provider with primary practice located at 205 S Garrison St , Lakewood CO 80226-2843. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reynolds, Mary can be contacted via phone (303) 237-2779.Contact Information
Primary practice address
205 S Garrison St
Lakewood CO 80226-2843
Phone: (303) 237-2779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40190 | Colorado |
Profile Details
| NPI number | 1790782944 |
|---|---|
| LBN Legal business name | Reynolds, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Nov 24th, 2021 - about 3 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 | 1790782944 | NPPES |
| Colorado | MEDICAID | 39402037 |
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