Reynolds, Michael D

Reynolds, Michael D is an individual health care provider with primary practice located at 12266 Depaul Dr. Suite 305, Bridgeton MO 63044-2516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reynolds, Michael D can be contacted via phone (314) 770-0991.

Contact Information

Primary practice address
12266 Depaul Dr. Suite 305 Bridgeton MO 63044-2516
Phone: (314) 770-0991
Fax: (314) 770-0692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R1J28 Missouri

Profile Details

NPI number 1689686065
LBN Legal business name Reynolds, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689686065 NPPES
Missouri Other 770001238 RAILROAD MEDICARE
Missouri MEDICAID 202545612 RAILROAD MEDICARE

Popular Providers