Reynolds, Michael Leroy

Reynolds, Michael Leroy is an individual health care provider with primary practice located at 912 Third Street Suite 101, Greensboro NC 27405-6967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Reynolds, Michael Leroy can be contacted via phone (336) 273-2511.

Contact Information

Primary practice address
912 Third Street Suite 101 Greensboro NC 27405-6967
Fax: (336) 370-0287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2001-00453 North Carolina

Profile Details

NPI number 1073579066
LBN Legal business name Reynolds, Michael Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 4th, 2010 - about 14 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 1073579066 NPPES
North Carolina Other 130023851 PALMETTO GBA RR MEDICARE

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