Reynolds, Russ K
Reynolds, Russ K is an sole proprietor health care provider with primary practice located at 220 25Th St Ne , East Wenatchee WA 98802-4097. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Reynolds, Russ K can be contacted via phone (509) 884-0602.Contact Information
Primary practice address
220 25Th St Ne
East Wenatchee WA 98802-4097
Phone: (509) 884-0602
Fax: (509) 884-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | RT00003044 | Washington |
Profile Details
| NPI number | 1679610356 |
|---|---|
| LBN Legal business name | Reynolds, Russ K |
| Credentials | Radiologic Technologist (RT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jan 8th, 2008 - about 16 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 | 1679610356 | NPPES |
| Washington | MEDICAID | 7015290 |
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