Reid, Tony

Reid, Tony is an sole proprietor health care provider with primary practice located at 255 W Bullard Ave Ste 109 , Clovis CA 93612-0861. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reid, Tony can be contacted via phone (559) 297-7563.

Contact Information

Primary practice address
255 W Bullard Ave Ste 109 Clovis CA 93612-0861
Phone: (559) 297-7563
Fax: (559) 297-5374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1034105 California

Profile Details

NPI number 1518004308
LBN Legal business name Reid, Tony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518004308 NPPES
California Other 1034105 LIC#

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