Reynolds, Michael

Reynolds, Michael is an sole proprietor health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Reynolds, Michael can be contacted via phone (304) 598-4214.

Contact Information

Primary practice address
930 Chestnut Ridge Rd Morgantown WV 26505-2807
Phone: (304) 598-4214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 204928 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31684 West Virginia
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 31684 West Virginia

Profile Details

NPI number 1407907603
LBN Legal business name Reynolds, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Jan 28th, 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 1407907603 NPPES
Massachusetts MEDICAID 0106071

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