Reynolds, Peter Mclean

Reynolds, Peter Mclean is an individual health care provider with primary practice located at 4140 Jade St Suite 100, Capitola CA 95010-3956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reynolds, Peter Mclean can be contacted via phone (831) 475-4024.

Contact Information

Primary practice address
4140 Jade St Suite 100 Capitola CA 95010-3956
Phone: (831) 475-4024
Fax: (831) 475-4344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X C384340 California

Profile Details

NPI number 1457364663
LBN Legal business name Reynolds, Peter Mclean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 15th, 2014 - about 11 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 1457364663 NPPES
California Other C384340 MEDICAL LIC

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