Reavis, Karen Maxine

Reavis, Karen Maxine is an individual health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reavis, Karen Maxine can be contacted via phone (973) 972-6680.

Contact Information

Primary practice address
150 Bergen St Newark NJ 07103-2496
Phone: (973) 972-6680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP001067400 New Jersey

Profile Details

NPI number 1841401858
LBN Legal business name Reavis, Karen Maxine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
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.

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