Reavis, Jennifer

Reavis, Jennifer is an individual health care provider with primary practice located at 595 Chapel Hills Dr Ste 240 , Colorado Springs CO 80920-1056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Reavis, Jennifer can be contacted via phone (719) 364-4120.

Contact Information

Primary practice address
595 Chapel Hills Dr Ste 240 Colorado Springs CO 80920-1056
Phone: (719) 364-4120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 52375 Colorado

Profile Details

NPI number 1013101146
LBN Legal business name Reavis, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated May 25th, 2022 - about 4 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 1013101146 NPPES
Colorado MEDICAID 71951776

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