Reynolds, Paul Richard

Reynolds, Paul Richard is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Reynolds, Paul Richard can be contacted via phone (425) 339-5447.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Phone: (425) 339-5447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 45707 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60516156 Washington

Profile Details

NPI number 1396734810
LBN Legal business name Reynolds, Paul Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated May 22nd, 2015 - about 10 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 1396734810 NPPES
Washington MEDICAID 2042881

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