Reynolds, Shaina L
Reynolds, Shaina L is an individual health care provider with primary practice located at 4190 E Woodmen Rd Suite 100, Colorado Springs CO 80920-8075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Reynolds, Shaina L can be contacted via phone (719) 632-4455.Contact Information
Primary practice address
4190 E Woodmen Rd Suite 100
Colorado Springs CO 80920-8075
Phone: (719) 632-4455
Fax: (719) 633-4613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036108703 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N1426 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N1426 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52872 | Colorado |
Profile Details
| NPI number | 1508823352 |
|---|---|
| LBN Legal business name | Reynolds, Shaina L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 15th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508823352 | NPPES |
| Illinois | Other | P00030453 | MEDICARE RAILROAD |
| Illinois | MEDICAID | 036108703 | MEDICARE RAILROAD |
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