Reynolds, Daniel
Reynolds, Daniel is an individual health care provider with primary practice located at 165 Natchez Trace Ave Suite 205, Bowling Green KY 42103-7940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Reynolds, Daniel can be contacted via phone (270) 745-7246.Contact Information
Primary practice address
165 Natchez Trace Ave Suite 205
Bowling Green KY 42103-7940
Phone: (270) 745-7246
Fax: (270) 282-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 44705 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 44705 | Kentucky |
Profile Details
| NPI number | 1528100625 |
|---|---|
| LBN Legal business name | Reynolds, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Feb 13th, 2024 - about 2 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 | 1528100625 | NPPES |
| Kentucky | MEDICAID | 7100170800 |
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