Reynolds, Terry
Reynolds, Terry is an sole proprietor health care provider with primary practice located at 7 12Th Ave Nw , Arab AL 35016-1977. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Reynolds, Terry can be contacted via phone (256) 586-4171.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | S437-TA119 | Alabama |
Profile Details
NPI number | 1427058262 |
---|---|
LBN Legal business name | Reynolds, Terry |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2005 |
Last updated | Feb 21st, 2022 - about 3 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 | 1427058262 | NPPES |
Alabama | MEDICAID | 000059586 | |
Alabama | Other | 1427058262 |
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