Reynolds, Thomas M

Reynolds, Thomas M is an individual health care provider with primary practice located at 2158 Northgate Park Ln Suite 302, Chattanooga TN 37415-6957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Reynolds, Thomas M can be contacted via phone (423) 870-4900.

Contact Information

Primary practice address
2158 Northgate Park Ln Suite 302 Chattanooga TN 37415-6957
Phone: (423) 870-4900
Fax: (423) 870-5889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD016274 Tennessee

Profile Details

NPI number 1003815580
LBN Legal business name Reynolds, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 19th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003815580 NPPES
Other 180029644 RR MEDICARE
MEDICAID 3711088 RR MEDICARE
MEDICAID 3031931 RR MEDICARE
Other 1187690001 RR MEDICARE
Other 3069497 RR MEDICARE
Other 62-1701871 RR MEDICARE

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