Reynolds, William Fredrick
Reynolds, William Fredrick is an sole proprietor health care provider with primary practice located at 1808 Verdugo Blvd Suite 318, Glendale CA 91208-1477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Reynolds, William Fredrick can be contacted via phone (818) 790-1278.Contact Information
Primary practice address
1808 Verdugo Blvd Suite 318
Glendale CA 91208-1477
Phone: (818) 790-1278
Fax: (818) 952-0134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | A25324 | California |
Profile Details
NPI number | 1619041480 |
---|---|
LBN Legal business name | Reynolds, William Fredrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2006 |
Last updated | Jun 22nd, 2010 - about 14 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 | 1619041480 | NPPES |
California | MEDICAID | 00A253240 |
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