Reynolds, Peter Lawrence
Reynolds, Peter Lawrence is an individual health care provider with primary practice located at 725 University Blvd , Fairborn OH 45324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reynolds, Peter Lawrence can be contacted via phone (937) 245-7100.Contact Information
Primary practice address
725 University Blvd
Fairborn OH 45324
Phone: (937) 245-7100
Fax: (937) 245-7999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301102150 | Michigan |
Profile Details
| NPI number | 1982689535 |
|---|---|
| LBN Legal business name | Reynolds, Peter Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Apr 26th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982689535 | NPPES |
| Virginia | MEDICAID | 1982689535 |
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