Reis, Richard William

Reis, Richard William is an individual health care provider with primary practice located at 400 North Pepper Avenue 2Nd Floor, Anesthesia Dept. Inland Empire Anesthesia Medical Group, Inc., Colton CA 92324-0765. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Allopathic & Osteopathic Physicians / Anesthesiology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Reis, Richard William can be contacted via phone (909) 580-2440.

Contact Information

Primary practice address
400 North Pepper Avenue 2Nd Floor, Anesthesia Dept. Inland Empire Anesthesia Medical Group, Inc. Colton CA 92324-0765
Phone: (909) 580-2440
Fax: (909) 580-2441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA716 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X NA716 California

Profile Details

NPI number 1023093929
LBN Legal business name Reis, Richard William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 3rd, 2013 - about 13 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 1023093929 NPPES
California MEDICAID RN3139800
California Other 430079039

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