Reynolds, Tommy R

Reynolds, Tommy R is an individual health care provider with primary practice located at 4520 W 69Th St , Sioux Falls SD 57108-8148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Reynolds, Tommy R can be contacted via phone (605) 977-5000.

Contact Information

Primary practice address
4520 W 69Th St Sioux Falls SD 57108-8148
Phone: (605) 977-5000
Fax: (605) 977-5377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 3519 South Dakota

Profile Details

NPI number 1346289618
LBN Legal business name Reynolds, Tommy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 31st, 2008 - about 16 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 1346289618 NPPES
South Dakota Other 0002025 SD BCBS
South Dakota Other 931451029046 SD BCBS
South Dakota Other 24691 SD BCBS
South Dakota Other 165034 SD BCBS
South Dakota Other 1M361RE SD BCBS
South Dakota MEDICAID 7300540 SD BCBS
South Dakota MEDICAID 0982801 SD BCBS
South Dakota Other 496L4RE SD BCBS
South Dakota Other 18-00050 SD BCBS
South Dakota Other 3519 SD BCBS

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