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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1407907603 | NPPES |
Massachusetts | MEDICAID | 0106071 |
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