Raynor, Reginald Winfield
Raynor, Reginald Winfield is an individual health care provider with primary practice located at 29 Haynes St Suite B, Manchester CT 06040-4139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Raynor, Reginald Winfield can be contacted via phone (860) 646-8888.Contact Information
Primary practice address
29 Haynes St Suite B
Manchester CT 06040-4139
Phone: (860) 646-8888
Fax: (860) 646-8885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 26317 | Connecticut |
Profile Details
| NPI number | 1861465635 |
|---|---|
| LBN Legal business name | Raynor, Reginald Winfield |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 6th, 2014 - about 12 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 | 1861465635 | NPPES |
| Connecticut | MEDICAID | 001263177 |
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