Reynolds, Scott
Reynolds, Scott is an sole proprietor health care provider with primary practice located at 21 Kathleen Cres , Coram NY 11727-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Reynolds, Scott can be contacted via phone (631) 766-0534.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | 002491 | New York |
Profile Details
| NPI number | 1922614999 |
|---|---|
| LBN Legal business name | Reynolds, Scott |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2020 |
| Last updated | Sep 16th, 2020 - about 4 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 | 1922614999 | NPPES |
| Other | 2000011183 | BOC | |
| Other | 002491 | BOC |
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