Reed, Brennan R
Reed, Brennan R is an sole proprietor health care provider with primary practice located at 601 S 8Th St , Quincy IL 62301. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Reed, Brennan R can be contacted via phone (217) 222-6381.Contact Information
Primary practice address
601 S 8Th St
Quincy IL 62301
Phone: (217) 222-6381
Fax: (217) 228-8726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004104 | Illinois |
Profile Details
| NPI number | 1881629152 |
|---|---|
| LBN Legal business name | Reed, Brennan R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 12th, 2010 - about 16 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 | 1881629152 | NPPES |
| Illinois | Other | 60201280 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 016004104 | BLUE CROSS BLUE SHIELD |
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