Reavis, Daryl K
Reavis, Daryl K is an sole proprietor health care provider with primary practice located at 1245 Fulton Ave , Coos Bay OR 97420-2895. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reavis, Daryl K can be contacted via phone (541) 888-6433.Contact Information
Primary practice address
1245 Fulton Ave
Coos Bay OR 97420-2895
Phone: (541) 888-6433
Fax: (541) 888-7505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D01503 | Arizona |
Profile Details
| NPI number | 1518342179 |
|---|---|
| LBN Legal business name | Reavis, Daryl K |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Jul 24th, 2015 - about 11 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.
Popular Providers
-
Macy, Robert Bruce
1245 Fulton Ave , Coos Bay OR 97420-2895 -
Hu, Rodherick
1210 Fulton Ave , Coos Bay OR 97420-2813 -
Williard, Mary E.
1245 Fulton Ave , Coos Bay OR 97420-2895 -
Ringle, Andrew Douglas
295 S 10Th St , Coos Bay OR 97420-4623 -
Hildebrand, Ross Alan
3822 6Th St , Great Bend KS 67530-9733 -
Erickson, Matthew Ryan
199 N 9Th St , Coos Bay OR 97420-1702 -
Smith, Brenden Lynn
1250 Thompson Rd , Coos Bay OR 97420-2538 -
Lemire, Lori J
470 Highland Ave , Coos Bay OR 97420-2243