Reavis, John Wallace
Reavis, John Wallace is an sole proprietor health care provider with primary practice located at 1532 32Nd Ave S , Fargo ND 58103-5987. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Reavis, John Wallace can be contacted via phone (701) 280-1928.Contact Information
Primary practice address
1532 32Nd Ave S
Fargo ND 58103-5987
Phone: (701) 280-1928
Fax: (701) 280-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 3411 | North Dakota |
Profile Details
| NPI number | 1750446845 |
|---|---|
| LBN Legal business name | Reavis, John Wallace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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
-
Clark, David Joseph
2101 Elm St N , Fargo ND 58102-2417 -
Gilbertson, Kristi Lynn
1521 University Dr S , Fargo ND 58103-4169 -
Solseng, Brent F
1705 6Th Ave S , Fargo ND 58103-2401 -
Frenzel, Jeanne
1401 Albrecht Boulevard North Dakota State University, Fargo ND 58105-2722 -
Iverson, Jennifer S
301 Np Ave N , Fargo ND 58102-4835 -
Barnes, Luwayne Frances
2101 Elm St N , Fargo ND 58102-2417 -
Qualey, Mary J
4510 13Th Ave Sw , Fargo ND 58121-1000 -
Trowbridge, Curtis D.
3000 32Nd Ave S , Fargo ND 58103-6132