Reynolds, Sara Jean
Reynolds, Sara Jean is an individual health care provider with primary practice located at 100 Hospital Dr , Bennington VT 05201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reynolds, Sara Jean can be contacted via phone (802) 447-5648.Contact Information
Primary practice address
100 Hospital Dr
Bennington VT 05201
Phone: (802) 447-5648
Fax: (802) 447-5609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42-0008018 | Vermont |
Profile Details
| NPI number | 1699713784 |
|---|---|
| LBN Legal business name | Reynolds, Sara Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 17th, 2018 - about 6 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 | 1699713784 | NPPES |
| New York | MEDICAID | 01342901 | |
| New York | MEDICAID | 1003556 | |
| New York | Other | 5082448 | |
| New York | Other | 042.0008018 | |
| New York | Other | 2112406 | |
| New York | Other | 11415 |
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