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
Fax: (818) 952-0134
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619041480 NPPES
California MEDICAID 00A253240

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