Reese, David Allan

Reese, David Allan is an individual health care provider with primary practice located at 550 E 1400 N , Logan UT 84341-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reese, David Allan can be contacted via phone (435) 716-5465.

Contact Information

Primary practice address
550 E 1400 N Logan UT 84341-2406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-8029 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4764870-1205 Utah

Profile Details

NPI number 1750446787
LBN Legal business name Reese, David Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 20th, 2008 - about 18 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 1750446787 NPPES
Utah MEDICAID D3608
Utah Other 47648701201001
Utah MEDICAID 805791400

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