Reyes, Jose
Reyes, Jose is an individual health care provider with primary practice located at 309 Stillson Rd , Fairfield CT 06825-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Reyes, Jose can be contacted via phone (203) 366-8700.Contact Information
Primary practice address
309 Stillson Rd
Fairfield CT 06825-3213
Phone: (203) 366-8700
Fax: (203) 367-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 031786 | Connecticut |
Profile Details
| NPI number | 1104823897 |
|---|---|
| LBN Legal business name | Reyes, Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104823897 | NPPES |
| Connecticut | MEDICAID | 001317868 |
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