John, Reynold M

John, Reynold M is an sole proprietor health care provider with primary practice located at 43171 Dalcoma Dr Suite #6, Clinton Township MI 48038-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. John, Reynold M can be contacted via phone (586) 286-1163.

Contact Information

Primary practice address
43171 Dalcoma Dr Suite #6 Clinton Township MI 48038-6307
Phone: (586) 286-1163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301405724 Michigan

Profile Details

NPI number 1215027305
LBN Legal business name John, Reynold M
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215027305 NPPES
Michigan MEDICAID 4301094
Michigan Other 4301405724

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