Reynolds, Nicholas Daniel

Reynolds, Nicholas Daniel is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Reynolds, Nicholas Daniel can be contacted via phone (502) 852-1735.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 852-1735
Fax: (502) 852-6056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 321248 New York
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 2019037032 Missouri
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 321248 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 54375 Kentucky

Profile Details

NPI number 1912240607
LBN Legal business name Reynolds, Nicholas Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912240607 NPPES
Indiana MEDICAID 300042676
Indiana MEDICAID 7100692760

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