Reisin, Sol
Reisin, Sol is an individual health care provider with primary practice located at 1550 North Imperial Avenue Suite 1, El Centro CA 92243-4242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Reisin, Sol can be contacted via phone (760) 353-4710.Contact Information
Primary practice address
1550 North Imperial Avenue Suite 1
El Centro CA 92243-4242
Phone: (760) 353-4710
Fax: (760) 545-0244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A39697 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A39697 | California |
Profile Details
| NPI number | 1700844222 |
|---|---|
| LBN Legal business name | Reisin, Sol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 19th, 2016 - about 10 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 | 1700844222 | NPPES |
| California | Other | ZZZ47484Z | BLUE SHIELD ZZZ# |
| California | Other | GR0066310 | BLUE SHIELD ZZZ# |
| California | MEDICAID | 00A396970 | BLUE SHIELD ZZZ# |
| California | Other | 110111657 | BLUE SHIELD ZZZ# |
| California | Other | W13536 | BLUE SHIELD ZZZ# |
| California | Other | WA39697B | BLUE SHIELD ZZZ# |
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