Reis, James R

Reis, James R is an individual health care provider with primary practice located at 1080 University Blvd , Richmond IN 47374-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reis, James R can be contacted via phone (765) 914-0946.

Contact Information

Primary practice address
1080 University Blvd Richmond IN 47374-1256
Phone: (765) 914-0946
Fax: (765) 939-0138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24137 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01058750A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-00404 North Carolina

Profile Details

NPI number 1821100504
LBN Legal business name Reis, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 23rd, 2017 - about 9 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 1821100504 NPPES
North Carolina Other NC7012A MEDICARE PTAN
North Carolina MEDICAID 1821100504 MEDICARE PTAN
North Carolina Other AA2638 MEDICARE PTAN
North Carolina MEDICAID 200457950 MEDICARE PTAN
North Carolina MEDICAID 5920310 MEDICARE PTAN

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